A nurse in the emergency department is admitting a client.

Exhibits

For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Provider consult

Client's initial report of manifestations

Treadmill stress test

Result of nitroglycerin therapy

12 Lead EKG report

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}

1. Provider Consult

Angina: Not typically associated with immediate provider consultation.

MI: Requires immediate consultation for treatment decisions, such as medication or interventions.

2. Client's Initial Report of Manifestations

Angina: Can present with discomfort or pressure that is transient and relieved by rest or nitroglycerin.

MI: Can present similarly but is often more severe and sustained; discomfort may be a precursor to a myocardial infarction.

3. Treadmill Stress Test

Angina: Often used to provoke symptoms under controlled conditions for diagnosis.

MI: Not used during an acute phase; rather, diagnostics are performed through EKG and cardiac enzyme tests.

4. Result of Nitroglycerin Therapy

Angina: Relief from nitroglycerin indicates angina.

MI: Nitroglycerin might not provide relief; other treatments and diagnostics are needed.

5. 12 Lead EKG Report

Angina: ST depression and T-wave inversion can occur with angina.

MI: These EKG changes can indicate ischemia, which could be part of an acute MI if accompanied by other severe symptoms or in the presence of persistent symptoms.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Administer oxygen therapy. This is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.

B. Start an IV infusion of lactated Ringer's is not the immediate priority; oxygen therapy addresses acute symptoms of a pulmonary embolism first.

C. Initiate cardiac monitoring is important, but it is secondary to addressing the client's oxygenation needs.

D. Give morphine IV may be part of the treatment plan, but oxygen therapy is the most immediate intervention for a pulmonary embolism.

A. Instruct the client to avoid movement of the affected leg. B. Position the lower extremities so that they are touching. C. Prevent hip flexion of the affected extremity. D. Ensure that the client's heels are touching the bed.

Correct Answer is C

Explanation

A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.

B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.

C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.

D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.

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A nurse in the emergency department is admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

Correct Answer is A

Explanation

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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A nurse in the emergency department is admitting a client.

Exhibits

For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.