After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?.

A 65-year-old patient who had a myocardial infarction (MI) 4 days ago and is anxious about today's planned discharge.

A 59-year-old patient with unstable angina who has just returned after a percutaneous coronary intervention (PCI).

A 56-year-old patient with variant angina who is scheduled to receive nifedipine (Procardia).

A 39-year-old patient with pericarditis who is complaining of sharp, stabbing chest pain.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A patient who had a myocardial infarction (MI) 4 days ago and is anxious about today’s planned discharge would need reassurance and education, but it’s not an immediate concern.

Choice B rationale:

A patient with unstable angina who has just returned after a percutaneous coronary intervention (PCI) is at risk for hemorrhage from the arterial access site. Immediate assessment of blood pressure, pulses, and the access site is required.

Choice C rationale:

A patient with variant angina who is scheduled to receive nifedipine (Procardia) would need monitoring, but it’s not the most urgent.

Choice D rationale:

A patient with pericarditis complaining of sharp, stabbing chest pain would need evaluation, but the risk of complications is less immediate than for Choice B1.

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

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Correct Answer is A

Explanation

Choice A rationale:

Cardiac-specific troponin is a protein that is released into the bloodstream when there is damage to the heart muscle, such as during an acute myocardial infarction (AMI). It is considered the most specific marker for AMI because it is found only in heart muscle. The normal range for troponin I is between 0 and 0.04 ng/mL2.

Choice B rationale:

Myoglobin is a protein found in heart and skeletal muscles. While it can be elevated in AMI, it is not as specific as troponin because it is also found in skeletal muscles. The normal levels of myoglobin are 25 to 72 ng/mL4.

Choice C rationale:

Homocysteine is an amino acid in the blood, and high levels can increase the risk of heart disease. However, it is not specific for AMI5. The normal range of homocysteine levels are less than 15 micromoles per liter.

Choice D rationale:

C-reactive protein (CRP) is a marker of inflammation in the body and can be elevated in various conditions, including heart disease. However, it is not specific for AMI6. The normal CRP level is less than 0.9 milligrams per deciliter.

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

A. Digoxin (Lanoxin) 0.125 mg. B. Captopril (Capoten) 25 mg. C. Furosemide (Lasix) 60 mg. D. Carvedilol (Coreg) 3.125 mg. . E. Carvedilol (Coreg) 3.125 mg. .

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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After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?.

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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