A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medications should the nurse plan to administer first?

Morphine

Nitroglycerin

Aspirin

Oxygen

Answer and Explanation

The Correct Answer is D

Choice A reason : Morphine is an opioid analgesic used to relieve severe pain and can be administered to patients with myocardial infarction to alleviate chest pain and anxiety. However, it is not the first medication given as it does not address the underlying cause of the myocardial infarction, which is the formation of a blood clot in the coronary arteries.

Choice B reason : Nitroglycerin is a nitrate that helps to dilate blood vessels and improve blood flow. It can be used to relieve chest pain in myocardial infarction, but similar to morphine, it is not the initial medication of choice. The priority is to prevent further blood clotting.

Choice C reason : Administered as soon as possible to inhibit platelet aggregation and reduce clot progression.

Choice D reason : When a myocardial infarction (MI) is suspected, the priority is to address tissue hypoxia and ensure adequate oxygenation to minimize myocardial damage. Administering oxygen helps increase oxygen availability to the ischemic heart tissue, reducing further damage.

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Correct Answer is B

Explanation

Choice A reason: Cough is not commonly associated with atenolol. Atenolol is a beta-blocker used to treat hypertension and is less likely to cause respiratory side effects compared to some other classes of antihypertensive medications.

Choice B reason: Bradycardia, or a slower than normal heart rate, is a well-documented adverse effect of atenolol. Atenolol works by blocking beta-1 receptors in the heart, which can reduce the heart rate. Normal heart rate ranges for infants (1 to 11 months old) are 80-160 beats per minute (BPM), and for toddlers (1-2 years old), it's 80-130 BPM. Bradycardia would be defined as a heart rate below these normal ranges. It is important for patients starting atenolol to monitor their pulse regularly and report any significant decrease in heart rate to their healthcare provider.

Choice C reason: While constipation can be a side effect of many medications, it is not a common adverse effect of atenolol. Atenolol does not typically affect the gastrointestinal system to the extent that it causes constipation.

Choice D reason: Headache is not a typical adverse effect of atenolol. While headaches can occur for a variety of reasons, they are not directly linked to the pharmacological action of atenolol on the cardiovascular system.

A. The frequency in which blood pressure is taken. B. Interventions implemented in response to a high blood pressure reading. C. The patient's response to interventions implemented. D. The person who obtained the blood pressure reading. E. The site where the blood pressure was obtained.

Correct Answer is ["B","C","E"]

Explanation

Choice A reason : Documenting the frequency of blood pressure measurements is crucial for monitoring trends and identifying any changes that may indicate a health issue. It helps in assessing the effectiveness of interventions and in making informed clinical decisions.

Choice B reason : Recording the interventions implemented in response to a high blood pressure reading is important for continuity of care. It ensures that all healthcare providers are aware of the actions taken and can evaluate their effectiveness.

Choice C reason : Noting the patient's response to interventions provides insight into the efficacy of the treatment plan. It is essential for adjusting care plans and for healthcare providers to understand the patient's progress.

Choice D reason : Identifying the person who obtained the blood pressure reading is a part of proper documentation practices. It allows for accountability and follow-up if there are any questions or concerns about the reading.

Choice E reason : The site where the blood pressure was taken can affect the reading. Documenting this information helps to ensure that readings are consistent and comparable over time. It is also important in case an alternative site needs to be used in future measurements.

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A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medications should the nurse plan to administer first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

Correct Answer is B

Explanation

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include documenting which of the following information?

Correct Answer is ["B","C","E"]

Explanation

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