The nurse is reviewing the client's medical record.
For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
Metoprolol 15 mg IV bolus
Oxygen at 2 L/min via nasal cannula
Draw electrolytes along with Hgb and Hct
Morphine 6 mg IV bolus every 3 hr as needed for pain
Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses
Obtain daily weight
Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"B"}}
The client's record indicate that they are experiencing a myocardial infarction due to the elevated markers of inflammation, cardiac biomarkers and typical ECG findings.
Management of myocardial infarction includes oxygen supplementation, nitroglycerin, morphine sulphate, beta blocker such as metoprolol and aspirin/clopidogrel
Among the triggers of myocardial infarction can be cardiac dysrhythmias. This can be caused by electrolytes disturbances and hence the need to draw electrolytes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Kale is high in vitamin K, which can antagonize the effects of warfarin. Warfarin works by inhibiting vitamin K-dependent clotting factors, so consuming large amounts of vitamin K-rich foods like kale can reduce the anticoagulant effect of warfarin, leading to a decrease in the INR.
Orange juice, beef stew and yogurt have no interactions with warfarin.
Correct Answer is B
Explanation
Indicates an increased risk of skin breakdown. This is because significant weight loss can lead to muscle wasting and reduced subcutaneous tissue, making the skin more vulnerable.
Bronchodilators, hemoglobin level and oxygen device do not relate directly to skin breakdown
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