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?". .
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Dependent rubor refers to redness of the skin that occurs when the leg is in a dependent (hanging down) position. It is often associated with peripheral artery disease. However, the child’s symptoms do not indicate this condition.
Choice B rationale:
Digitalis toxicity can occur as a result of high levels of the drug digoxin. Symptoms can include nausea, vomiting, weakness, and vision changes. Given that the child has been administered digoxin, there is a risk for this condition.
Choice C rationale:
Carditis is inflammation of the heart or its surroundings. It is usually caused by bacterial or viral infections. The child’s symptoms do not suggest an infection, making this choice less likely.
Choice D rationale:
Hypercyanotic spells, also known as “tet spells,” are associated with Tetralogy of Fallot, a specific congenital heart defect. The child has a history of congenital mitral stenosis, not Tetralogy of Fallot, making this choice less likely.
Choice E rationale:
Hypokalemia, or low potassium levels, can occur as a side effect of taking diuretics like furosemide. Given that the child has been administered furosemide, there is a risk for this condition.
Choice F rationale:
Fever is usually a response to infection or inflammation. The child’s symptoms do not suggest an infection or inflammation, making this choice less likely.
Choice G rationale:
Hypertension, or high blood pressure, is not indicated in the child’s symptoms or history. The child’s blood pressure readings are within normal range, making this choice less likely.
Choice H rationale:
A murmur is a sound that can be heard when listening to the heart with a stethoscope. It is often caused by turbulent blood flow through the heart. The child’s notes do not mention a murmur, making this choice less likely.
So, the correct answer is, the child is at risk for developing Digitalis toxicity and Hypokalemia. .
Correct Answer is A
Explanation
Choice A rationale:
Digoxin is used to treat heart failure and atrial fibrillation, but it doesn’t directly address the fluid accumulation in the lungs caused by pulmonary edema.
Choice B rationale:
Captopril, an ACE inhibitor, can help reduce fluid buildup and is typically beneficial for patients with pulmonary edema.
Choice C rationale:
Furosemide is a diuretic that helps remove excess fluid from the body, making it a key medication for treating pulmonary edema.
Choice D rationale:
Carvedilol, a beta blocker, can be used to treat heart failure and hypertension, conditions that can contribute to pulmonary edema.
So, the correct answer is A, after analyzing all choices.
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