Myocardial infarction NCLEX

Myocardial infarction NCLEX Leave the first rating Students also studied Terms in this set (18) Science MedicineCardiology Save Angina/MI NCLEX style questions 21 terms penny_meisenzahl Preview

NCLEX Questions: Myocardial Infarc...

35 terms katelyn_sandoval2 Preview Heart Failure NCLEX Review Questi...16 terms Dominique_Comeaux Preview Heart F 23 terms flor You're educating a patient about the causes of a MI.Which statement by the patient indicates they misunderstood your teaching and requires you to re- educate them?

• Coronary artery dissection can happen spontaneously

and occurs more in woman

• The most common cause of a MI is a coronary spasm

from illicit drug use or hypertension

• Patients who have coronary artery disease are at high

risk for developing a MI

• Both A & B are incorrect

B You note in the patient's chart that the patient recently had a myocardial infarction due to a blockage in the left coronary artery. You know that which of the following is true about this type of blockage?

• A blockage in the left coronary artery causes the least

amount of damage to the heart muscle.

• Left coronary artery blockages can cause anterior wall

death which affects the left ventricle.

• Left coronary artery blockage can cause posterior

wall death which affects the right ventricle.

• The left anterior descending artery is least likely to be

affected by coronary artery disease.B

A patient is 36 hours status post a myocardial infarction.The patient is starting to complain of chest pain when they lay flat or cough. You note on auscultation of the heart a grating, harsh sound. What complication is this patient mostly likely suffering from?

• Cardiac dissection
• Ventricular septum rupture
• Mitral valve prolapse
• Pericarditis

D After a myocardial infarction, at what time (approximately) do the macrophages present at the site of injury to perform granulation of the tissue?

• 24 hours
• 2 days
• 10 days
• 6 hours

C 24-36 hours after a myocardial infarction _____ congregate at the site during the inflammation phase

• Neutrophils
• Eosinophils
• Platelets
• Macrophages

A A patient is complaining of chest pain. You obtain a 12 - lead EKG and see ST elevation in leads II, III, AVF. What area of the hear does this represent?

• Lateral
• Septal
• Anterior
• Inferior

D A patient is admitted with chest pain to the ER. The patient has been in the ER for 5 hours and is being admitted to your unit for overnight observation. From the options below, what is the most important information to know about this patient at this time?

• Troponin result and when the next troponin level is due

to be collected

• Diet status
• Last consumption of caffeine
• CK result and when the next CK level is due to be

collected A A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know that ____ levels elevate 2-4 hours after injury to the heart and is the most regarded marker by providers

• Myoglobin

B. CK-MB

• CK
• troponin

D

A patient is complaining of chest pain. On the bedside cardiac monitor you observe pronounce T-wave inversion. You obtain the patients VS and find the

following: BP 190/98 HR 110, O2 96% RA, R 20. Select all

that apply in regards to the most important nursing interventions you will provide based on the patients current status

• Obtain a 12- lead EKG
• Place the patient in supine position
• Assess urinate output
• Administer nitroglycerin sublingual as ordered
• Collect cardiac enzymes as ordered
• Encourage patient to couch and deep breath
• Administer morphine IV as ordered
• Place patient on oxygen via nasal cannula
• No interventions are needed at this time

A, D, E, G & H I'm regards to the patients in the previous question, after administering the first dose of nitroglycerin sublingual the patients blood pressure is now 68/48. The patient is still having chest pain and T-wave inversion on the cardiac monitor. What is your next nursing intervention?

• Hold further does of nitroglycerin and notify the

doctor immediately for further orders

• Administer morphine IV and place patient in reverse

trendelenburg position

• Administer nitroglycerin and monitor the patients

blood pressure

• All the options are incorrect

A A patient recovering from a MI is complaining of the taste of blood in their mouth. On assessment, you note there is bleeding on the anterior gums. Which medication can cause this?

• Coreg
• Cardizem
• Lovenx
• Lipitor

C A patient is on a Heparin drip post myocardial infarction.The patient has been on the drip for 4 days. You are assessing the patients morning lab work. Which of the following findings in the patients lab work is a potential life threatening complication of Heparin therapy and requires intervention?

A. K+ 3.7

• PTT 65 seconds
• hgb 14.5
• Platelets 135,000

D

A patient is experiencing heparin induced thrombocytopenia from Heparin therapy. The doctor orders heparin to be discontinued. The patient will most likely be placed on what other medication?

• Argatroban
• Lovenox
• Levophed
• Tridil

A A patient taking Lovenox is having a severe reAction.What is the antidote for this medication?

• Activated charcoal
• Acetylcysteine
• Narcan
• Protamine sulfate

D A patient is being discharged home after receiving treatment for a myocardial infarction. The patient will be taking Coreg. What statement by the patient demonstrates they understood your education material about this drug?

• 'I will take this medication at night'
• 'I will take this medication as needed'
• 'I will monitor my heart rate and blood pressure while

taking this medication'

• 'I will take this medication in the morning with

grapefruit juice' C A patient is complaining of a nagging cough that is continuous. Which medication below can cause this side effect?

• Losartan
• Lisinopril
• Cardizem
• Lipitor

B A patient morning lab work shows a potassium level of

6.3. The patients potassium level yesterday was 4.0 the

patient was recently started on new medications for treatment of myocardial infarction. What medication below can cause an increased potassium level?

• Losartan
• Norvasc
• Aspirin
• Cardizem

A