(1 point). Listen.
A nurse is assisting the primary care provider to determine if a patient had a myocardial infarction.
Which laboratory values should the nurse check?
Albumin and aldosterone.
Sodium and potassium.
Creatine phosphate (CK-MB) and troponin 1.
Cholesterol and HDL.
The Correct Answer is C
Choice A rationale:
Albumin and aldosterone. Rationale: Albumin and aldosterone are not typically used to diagnose myocardial infarction. These are not specific markers for cardiac injury. Choice A is incorrect.
Choice B rationale:
Sodium and potassium. Rationale: Sodium and potassium levels are important for assessing electrolyte balance, but they are not specific indicators of myocardial infarction. Choice B is incorrect.
Choice C rationale:
Creatine phosphate (CK-MB) and troponin 1. Rationale: Creatine kinase-MB (CK-MB) and troponin 1 are specific cardiac markers that are elevated in the blood following a myocardial infarction. CK-MB is an isoenzyme of creatine kinase found primarily in the heart, and troponin is a protein released from damaged heart muscle cells. Elevated levels of these markers are indicative of myocardial infarction. Choice C is the correct answer.
Choice D rationale:
Cholesterol and HDL. Rationale: Cholesterol and HDL (High-Density Lipoprotein) levels are relevant for assessing cardiovascular risk but are not specific markers for myocardial infarction. Choice D is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The client with bipolar disorder speaking loudly may be experiencing a manic episode, but this doesn't represent an immediate physical concern. There's no indication of a medical emergency here.
Choice B rationale:
Olfactory hallucinations in a client with schizophrenia are concerning, but it doesn't necessarily indicate an immediate physical issue that requires urgent attention.
Choice C rationale:
A client taking clozapine and reporting a sore throat is of immediate concern because clozapine is associated with a risk of agranulocytosis, a potentially life-threatening condition that can manifest as a sore throat. Monitoring for this side effect is crucial.
Choice D rationale:
While weight gain in a client taking lithium should be monitored, it's not an acute issue that requires immediate attention.
Correct Answer is B
Explanation
Choice A rationale:
Chorea is a movement disorder that can be seen in some cases of acute rheumatic fever, but it is not the result of an abnormal immune response to group A streptococcal cell membrane antigens. Chorea is characterized by involuntary, rapid, and irregular movements.
Choice C rationale:
C-reactive protein is a marker of inflammation and can be elevated in acute rheumatic fever, but it is not the primary cause of the condition. Acute rheumatic fever is an autoimmune response to group A streptococcal infection, and M proteins play a significant role in its pathophysiology.
Choice D rationale:
Streptolysin O is a toxin produced by some streptococcal bacteria but is not the primary cause of acute rheumatic fever. It can, however, contribute to the overall inflammatory response in certain cases.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.