A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

NSTEMI

Stable Angina

STEMI

Unstable Angina

Answer and Explanation

The Correct Answer is C

Rationale:

A. This is wrong because the ECG leads show ST segment elevation.

B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.

C. This is correct because of the ST segment elevation.

D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.

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Correct Answer is B

Explanation

Rationale:

A. Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial infarction (AMI).

B. IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.

C. Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen demand.

D. IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial infarction (AMI).

A. Tenormin (Atenolol) B. Heparin C. Keflex (Cephalexin) D. Hold all medications

Correct Answer is A

Explanation

Rationale:

A. Tenormin (Atenolol) is a beta-blocker that reduces the heart rate and may affect the results of the stress test. Therefore, it should be held the morning of the test.

B. Heparin is an anticoagulant and is not typically held before a stress test.

C. Keflex (Cephalexin) is an antibiotic and is not typically held before a stress test.

D. Holding all medications is not necessary for a stress test, but specific medications that may interfere with the test, such as beta-blockers, should be held.

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A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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