A nurse is caring for a client who reports chest pain. Which of the following laboratory findings indicates myocardial damage?
Troponin 11.8 ng/mL
Erythrocyte sedimentation rate (ESR) 17 mm/hr
Human B-type natriuretic peptide 88 pg/ml.
aPTT 80 seconds
The Correct Answer is A
A.
A. Troponin is a protein released into the bloodstream when there is damage to the heart muscle (myocardium), such as during a heart attack. Elevated troponin levels indicate myocardial injury or damage, making this the correct choice for indicating myocardial damage.
B. Erythrocyte sedimentation rate (ESR) measures the rate at which red blood cells settle in a tube of blood. It is a non-specific marker of inflammation and is not specific to myocardial damage.
C. Human B-type natriuretic peptide (BNP) is released by the heart in response to increased pressure and volume. Elevated levels are indicative of heart failure, not necessarily myocardial damage.
D. Activated partial thromboplastin time (aPTT) measures the time it takes for blood to clot. It is used to monitor the effectiveness of anticoagulant therapy and is not specific to myocardial
damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A sterile field must be established at or above waist level. Setting it up below waist level introduces a high risk of contamination because the field falls out of the nurse's direct line of vision, rendering it unsterile.
B. The nurse should hold the bottle of sterile solution with the palm of the hand covering the label while pouring. This technique prevents any liquid from accidentally dripping down the side of the bottle, ensuring the label remains dry, legible, and intact.
C. Objects placed within the outer 2.54 cm (1 inch) border of a sterile drape are considered contaminated. Sterile items must be positioned well inside this safety perimeter to prevent accidental contact with non-sterile areas.
D. The lid of a bottle of sterile solution is not considered sterile on its outer surface and must never be placed within the sterile field. It should be set upside down on a clean, dry surface outside the sterile perimeter to avoid introducing contaminants.
Correct Answer is D
Explanation
A. "Wearing an underwire bra between feedings" can compress the breast tissue, potentially leading to milk stasis and increasing the risk of mastitis.
B. "Covering your breasts immediately after feedings" can trap moisture and warmth, creating an environment conducive to bacterial growth and increasing the risk of mastitis.
C. "Applying cold compresses to your breasts before feedings" may provide temporary relief for discomfort, but it is not a primary preventive measure for mastitis.
D. "Trying to have your baby empty your breasts with each feeding" helps ensure thorough milk removal, which can prevent milk stasis and decrease the risk of mastitis. This is the correct choice.
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