While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

Take the family members quickly out of the patient room and remain with them.

Tell the family members that watching the resuscitation will be very stressful.

Ask family members if they wish to remain in the room during the resuscitation.

Assign a staff member to wait with family members just outside the patient room.

Answer and Explanation

The Correct Answer is C

A. Quickly removing the family members may add to their distress and does not respect their right to decide.

B. Telling them it will be stressful assumes their reaction without giving them a choice.

C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.

D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.

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Correct Answer is C

Explanation

A. A depressed ST-segment is often associated with ischemia or non-ST elevation myocardial infarction (NSTEMI), not an ongoing MI.

B. A depressed ST-segment with normal cardiac enzymes suggests ischemia rather than an active MI.

C. ST-segment elevation on ECG combined with elevated cardiac biomarkers such as CK-MB or troponin levels is a hallmark of an acute ST-segment elevation myocardial infarction (STEMI), indicating an ongoing MI.

D. A Q wave on ECG indicates an old infarction and is not associated with an acute MI if enzymes and troponin levels are normal.

A. the goal is to lower the BP to 120/80. B. lowering the BP quickly may decrease cerebral, coronary or renal perfusion. C. IV antihypertensive medications have a slow onset. D. Lowering the BP slowly allows the patient to rest.

Correct Answer is B

Explanation

A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.

B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.

C. IV antihypertensive medications generally have a rapid onset, not a slow one.

D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

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Naxlex Comprehensive Predictor Exams

The patient is admitted with a suspected acute myocardial infarction (AMI). In assessing the 12-lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the patient is in the process of a myocardial infarction (MI)?

Correct Answer is C

Explanation

A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

Correct Answer is B

Explanation

When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?

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