A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

Elevated Troponins

Elevated Creatine kinase (CK)

Elevated Hemoglobin

Elevated B-type Natriuretic

Answer and Explanation

The Correct Answer is A

Rationale:

A. Elevated Troponins indicate myocardial injury or infarction.

B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.

C. Elevated Hemoglobin is not specific to cardiac injury.

D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.

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Correct Answer is D

Explanation

Rationale:

A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.

B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).

C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.

D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).

A. "The next pacemaker check will be when the batteries need to be replaced." B. "My pacemaker will need reprogramming if I stand too close to a microwave oven." C. "I will take my pulse weekly." D. "The pacemaker can be checked from home by using the telephone."

Correct Answer is D

Explanation

A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.

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A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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