In planning care for a patient with acute myocardial infarction (AMI), which of the following should the nurse identify as the highest priority goal of care?
Stable ECG rhythm
Ability to verbalize causes and effects of CHD/CAD
Adequate relief of pain
Compliance with prescribed bedrest
The Correct Answer is C
Choice A reason : While maintaining a stable ECG rhythm is important, it is not the highest priority. The primary concern is to address life-threatening complications.
Choice B reason : Educating the patient about the causes and effects of coronary heart disease (CHD) or coronary artery disease (CAD) is important for long-term management but is not the immediate priority during acute care.
Choice C reason : Adequate relief of pain is the highest priority in the care of a patient with AMI. Pain is an indicator of ongoing ischemia and can increase the workload of the heart, thereby worsening the condition.
Choice D reason (AMI): While bedrest is part of the care plan, it is not the highest priority compared to pain relief, which has direct implications on the patient's immediate physiological status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The annual pneumococcal vaccine is recommended for preventing pneumococcal disease, which can be a complication of COPD, but it is not a primary prevention method for COPD itself.
Choice B reason: Maintaining ideal weight is important for overall health but is not directly related to the prevention of COPD.
Choice C reason: The annual influenza vaccine can help prevent flu-related complications in individuals with COPD but is not a primary prevention method for COPD.
Choice D reason: Stopping or cutting back on smoking is the most effective way to prevent COPD, as smoking is the leading cause of the disease.
Correct Answer is B
Explanation
Choice A reason: Dabigatran does not specifically slow the ventricular response; medications like beta-blockers are typically used for rate control in atrial fibrillation.
Choice B reason: Dabigatran is an anticoagulant that reduces the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation by preventing clot formation.
Choice C reason: Dabigatran does not convert atrial fibrillation to sinus rhythm; that would be the role of antiarrhythmic drugs or procedures like cardioversion.
Choice D reason: While dabigatran can prevent clots from forming, it is not used to dissolve existing clots; thrombolytic agents are used for that purpose.
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