A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?.

"Did you take aspirin today?".

"Do you have any allergies?".

"Can you rate the pain on a 0 to 10 scale?".

"What time did your pain begin?". .

Answer and Explanation

The Correct Answer is D

Choice A rationale:

While aspirin is often given to patients with suspected myocardial infarction, asking if the patient took aspirin does not help determine the timing of the onset of symptoms.

Choice B rationale:

Knowing the patient’s allergies is important for medication safety, but it does not help determine eligibility for thrombolytic therapy.

Choice C rationale:

Rating the pain on a scale helps assess the severity of the pain, but it does not provide information about the timing of the onset of symptoms.

Choice D rationale:

The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms.

So, the correct answer is D, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale:

Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI)123.

Choice B rationale:

Changes in pain that occur with deep breathing are more typical of musculoskeletal pain or pericarditis.

Choice C rationale:

Stable angina is usually relieved when the patient takes nitroglycerin.

Choice D rationale:

Pain that is reproducible when the patient raises the arms is more typical of musculoskeletal pain.

So, the correct answer is A, after analyzing all choices.

A. Check the electrocardiogram (ECG) for ST segment changes. B. Assess for the presence of jugular venous distention (VD). C. Monitor for changes in the patient's sedimentation rate. D. Assess for the presence of a paradoxical pulse.

Correct Answer is B

Explanation

Choice A rationale:

ST segment changes on an ECG are not typically associated with chronic constrictive pericarditis.

Choice B rationale:

Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective.

Choice C rationale:

While the sedimentation rate can indicate inflammation, it is not specific to chronic constrictive pericarditis.

Choice D rationale:

The presence of a paradoxical pulse is not typically associated with chronic constrictive pericarditis.

So, the correct answer is B, after analyzing all choices.

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A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?.

Correct Answer is A

Explanation

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

Correct Answer is B

Explanation

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

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While auscultating a patient's heart sounds, a nurse detects a fourth heart sound (S4). The nurse understands that this finding possibly indicates:.

A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in determining whether the patient has had an AMI?.

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The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.