A patient is in the ER for a suspected myocardial infarction.
The nurse sends a blood sample to the lab.
The patient asked the nurse what laboratory levels would be elevated to indicate an MI. The nurse replies:
Elevated potassium levels.
Elevated CK-MB and Troponin levels.
Elevated Lipid profile.
Elevated WBC count.
The Correct Answer is B
Choice A rationale:
Elevated potassium levels are not a specific indicator of a myocardial infarction (MI). They could be due to other conditions like kidney disease.
Choice B rationale:
Elevated CK-MB and Troponin levels are indeed indicators of an MI. These proteins are released into the blood when heart muscle is damaged.
Choice C rationale:
An elevated lipid profile is a risk factor for heart disease, but it does not indicate an acute MI.
Choice D rationale:
An elevated WBC count could indicate an infection or inflammation, but it is not a specific indicator of an MI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.
Correct Answer is D
Explanation
Choice A rationale:
Increased thirst is not a specific sign of congestive heart failure.
Choice B rationale:
A rise in blood pressure is not a specific sign of congestive heart failure.
Choice C rationale:
Dizziness when standing up too quickly could be a sign of orthostatic hypotension, not specifically congestive heart failure.
Choice D rationale:
Weight gain of 2 lbs or more in 24 hours could indicate fluid retention, a common sign of congestive heart failure.
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