The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

Urine output

Vital signs

Name of the patient's dog

Neurological status

Answer and Explanation

The Correct Answer is D

Choice A reason: Urine output is important but not the priority after administration of fibrinolytic medication.

Choice B reason: Vital signs are routinely monitored but the priority is assessing for any signs of complications from the medication, such as bleeding or stroke.

Choice C reason: The name of the patient's dog is irrelevant to the patient's medical care and assessment.

Choice D reason: Neurological status is the priority to monitor for signs of intracranial hemorrhage, a potential complication of fibrinolytic therapy.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason : Heart disease prevention is essential in managing pulmonary edema, especially when it is related to a cardiac condition.
Choice B reason : A healthy lifestyle, including diet and exercise, supports overall heart health and can help manage pulmonary edema.
Choice C reason : Smoking cessation is critical as smoking can exacerbate heart conditions and pulmonary edema.
Choice D reason : The goal of weight control is typically to reduce BMI, not increase it to over 35, which is considered obese.
Choice E reason : Glycemic control is important for diabetic patients to manage their condition and reduce the risk of complications, including pulmonary edema.

A. Stable ECG rhythm B. Ability to verbalize causes and eﬀects of CHD/CAD C. Adequate relief of pain D. Compliance with prescribed bedrest

Correct Answer is C

Explanation

Choice A reason: While a stable ECG rhythm is important, it is not the immediate concern post-AMI.

Choice B reason: The ability to verbalize causes and eﬀects of CHD/CAD is an educational goal, not an immediate care priority.

Choice C reason: Adequate relief of pain is a priority to reduce stress on the heart and improve patient comfort.

Choice D reason: Compliance with prescribed bedrest is important but secondary to pain relief.

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The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?

Correct Answer is C

Explanation

The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

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