The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Sweating

Fatigue

Shortness of breath

Dizziness

Nausea

Pain between shoulder blades

Answer and Explanation

Correct Answer : A,B,C,D,E,F

Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.

Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.

Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.

Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.

Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.

Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.

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Correct Answer is D

Explanation

Choice A reason: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

A. Thrombolytic agents can be used to dissolve a blood clot that is blocking coronary artery flow. B. Patients are often kept on bedrest after initial diagnosis to reduce the workload of the heart. C. Timely diagnosis of myocardial infarction is not a factor in the extent of muscle damage. D. Percutaneous coronary intervention uses a stent to reopen the blocked coronary artery.

Correct Answer is C

Explanation

Choice A Reason:Thrombolytic agents (clot-dissolving drugs) are indeed used to dissolve blood clots that block coronary artery flow during a heart attack. These medications help restore blood flow and prevent further damage to the heart muscle.

Choice B Reason:Bedrest is commonly recommended after a myocardial infarction (heart attack) to reduce the workload on the heart. It allows the heart to heal and minimizes strain during the recovery phase.

Choice C Reason:Timely diagnosis of myocardial infarction is crucial because early intervention can significantly impact the extent of muscle damage. Rapid treatment helps preserve heart tissue and prevent complications.

Choice D Reason:Percutaneous coronary intervention (PCI) involves using a stent to reopen a blocked coronary artery. This procedure restores blood flow and improves outcomes for patients with myocardial infarction.

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The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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