The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

An ACE inhibitor

Thrombolytics

Aspirin

A potassium-sparing diuretic

A beta blocker

Answer and Explanation

Correct Answer : B,C,E

A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.

B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.

C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.

D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.

E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.

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Correct Answer is D

Explanation

Explanation:

A. A blood pressure of 130/80 is within the target range (below 140/90 for most individuals) and does not require immediate follow-up.

B. Knee pain, while important, is not an immediate priority compared to potential medication side effects or complications.

C. Hypoactive bowel sounds, while needing monitoring, are not typically a priority over potential adverse effects of medication.

D. Complaints of muscle weakness could indicate a potential side effect of atorvastatin (Lipitor), which should be promptly addressed to prevent complications such as rhabdomyolysis. Therefore, it is the priority assessment finding for the nurse to follow-up.

A. Ms. Garcia developed unstable angina B. Exposure to the elements (natural light) caused the drugs to lose their effectiveness C. Ms. Garcia developed tolerance to the sublingual form of administration D. Ms. Garcia did not follow the correct interval or duration of administration

Correct Answer is B

Explanation

Explanation:

A. There is no evidence in the scenario to suggest that Ms. Garcia developed unstable angina.

B. Exposure to light, particularly sunlight, can degrade nitroglycerin, reducing its effectiveness over time.

C. There is no indication that Ms. Garcia developed tolerance to sublingual nitroglycerin in this scenario.

D. Ms. Garcia's storage method for the nitroglycerin tablets, not the interval or duration of administration, likely affected their effectiveness.

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The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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