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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Eggs are not typically restricted while taking phenelzine (Nardil).
B. Onions are not typically restricted while taking phenelzine (Nardil).
C. Apples are not typically restricted while taking phenelzine (Nardil).
D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.
Correct Answer is D
Explanation
Explanation:
A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.
B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.
C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.
D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.
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