.png){kind=logo}
1. A 45-year-old male presents with chest pain, dyspnea,
diaphoresis, and nausea. He has a history of hypertension,
diabetes, and smoking. The nurse practitioner suspects that he is
having an acute myocardial infarction (AMI). What is the most
appropriate initial action by the nurse practitioner?
a) Administer aspirin and nitroglycerin
b) Perform a 12-lead electrocardiogram (ECG)
c) Call for an ambulance and prepare for transport
d) Obtain a complete blood count (CBC) and cardiac enzymes
*Answer: c) Call for an ambulance and prepare for transport*
Rationale: The nurse practitioner should recognize that this patient
is experiencing a life-threatening emergency and needs immediate
hospitalization. The priority is to call for an ambulance and prepare
for transport, while providing oxygen, monitoring vital signs, and
reassuring the patient. Administering aspirin and nitroglycerin,
performing an ECG, and obtaining blood tests are important
interventions, but they should not delay the transport of the patient.
2. A 60-year-old female has been diagnosed with osteoporosis after
a bone mineral density (BMD) test. She has no symptoms or
fractures, but she is concerned about her risk of developing them in
the future. She asks the nurse practitioner what she can do to
prevent osteoporosis. What is the best response by the nurse
practitioner?
a) You should take calcium and vitamin D supplements daily
b) You should exercise regularly, especially weight-bearing
activities
c) You should avoid alcohol, tobacco, caffeine, and carbonated
beverages
d) You should do all of the above
*Answer: d) You should do all of the above*
Rationale: The nurse practitioner should educate the patient about
the modifiable risk factors for osteoporosis and the lifestyle changes
that can prevent or slow down bone loss. These include adequate
intake of calcium and vitamin D, regular physical activity (especially
weight-bearing exercises that stimulate bone formation), and
avoidance of substances that can impair bone health (such asÂ
.png)