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 D

Explanation

Choice A reason : The triglyceride level of 130 mg/dL is within the normal range, which is less than 150 mg/dL for adults. Therefore, this result does not place the client at risk for peripheral arterial disease.

Choice B reason : An HDL level of 84 mg/dL is considered good as it is higher than the minimum recommended level of 40 mg/dL for males and 50 mg/dL for females. Higher levels of HDL are protective against heart disease.

Choice C reason : A blood glucose level of 92 mg/dL is within the normal fasting range of 70 to 99 mg/dL. This indicates that the client does not have diabetes, which is a risk factor for peripheral arterial disease.

Choice D reason : An LDL level of 172 mg/dL is considered high since the optimal level for LDL is less than 100 mg/dL. High levels of LDL cholesterol can lead to atherosclerosis, increasing the risk for peripheral arterial disease.

A. Intermittent claudication B. Darkened skin color near extremities C. Warm extremities D. Edema

Correct Answer is A

Explanation

Choice A reason f:Intermittent claudication is a classic symptom of PAD, characterized by muscle pain or cramping in the legs triggered by exercise, such as walking, which typically disappears after a few minutes of rest. This symptom occurs due to inadequate blood flow to the muscles during increased demand.

Choice B reason :Darkened skin color near the extremities, also known as hyperpigmentation, can occur in PAD due to the chronic ischemia and the resultant buildup of waste products in the tissue, which may lead to skin changes.

Choice C reason :Warm extremities are not typically associated with PAD. In fact, patients with PAD may have cooler extremities compared to the rest of the body due to reduced blood flow.

Choice D reason :Edema is not a common finding in PAD. Instead, PAD can lead to decreased skin temperature, loss of hair, shiny skin, and non-healing wounds on the extremities due to poor circulation.

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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

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