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1. A 45-year-old male patient with a history of
hypertension and diabetes presents to the emergency
department with chest pain, dyspnea, and diaphoresis. He is
diagnosed with an acute myocardial infarction (AMI) and
is given aspirin, nitroglycerin, morphine, and oxygen. He is
also scheduled for an urgent coronary angioplasty. As a
nurse, what is the most important intervention to monitor
his condition and prevent complications?
A) Assess his vital signs every 15 minutes
B) Administer heparin infusion as ordered
C) Monitor his cardiac rhythm continuously
D) Educate him about lifestyle modifications
Answer: C) Monitor his cardiac rhythm continuously
Rationale: Monitoring the cardiac rhythm continuously is
the most important intervention to detect and treat any
arrhythmias that may occur after an AMI, which can be
life-threatening. Assessing vital signs, administering
heparin, and educating the patient are also important, but
not as urgent as monitoring the cardiac rhythm.
2. A 65-year-old female patient with a history of chronic
obstructive pulmonary disease (COPD) and osteoporosis is
admitted to the medical-surgical unit with pneumonia. She
has a productive cough, fever, and tachypnea. She is
receiving antibiotics, bronchodilators, and corticosteroids.
As a nurse, what is the most appropriate nursing diagnosis
for this patient?
A) Impaired gas exchange related to decreased lung
function
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