A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Brain Natriuretic Peptide (BNP)

Total Lactate Dehydrogenase (LDH)

Troponin

Creatinine

Answer and Explanation

The Correct Answer is C

A. Brain Natriuretic Peptide (BNP) is a marker for heart failure, not the primary diagnostic test for myocardial infarction (MI).
B. Total Lactate Dehydrogenase (LDH) was historically used but is not specific for MI and has been replaced by troponin testing.
C. Troponin is correct. Cardiac-specific troponins (Troponin I and Troponin T) are the gold standard for detecting myocardial injury. Elevated levels indicate myocardial damage and are crucial for diagnosing MI.
D. Creatinine is important for assessing kidney function but is not a marker for myocardial infarction.

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Correct Answer is C

Explanation

A. A complete occlusion of the coronary artery is characteristic of an ST-segment elevation myocardial infarction (STEMI), not an NSTEMI.
B. Chest pain that resolves with rest is more indicative of stable angina rather than NSTEMI.
C. An NSTEMI occurs due to a partial occlusion of a coronary artery, leading to myocardial ischemia and damage without ST-segment elevation on an ECG.
D. Chest pain at rest can be seen in both unstable angina and NSTEMI, but it is not the defining feature of NSTEMI.

A. To prevent bronchospasms and promote bronchodilation B. To monitor blood pressure C. To relieve nasal congestion D. To reduce coughing

Correct Answer is A

Explanation

A. Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, reducing airway resistance and improving airflow in COPD patients.
B. Monitoring blood pressure is unrelated to ipratropium use. It primarily acts on the respiratory system, not the cardiovascular system.
C. Relieving nasal congestion is incorrect in this context, though ipratropium nasal spray can be used for rhinorrhea.
D. Reducing coughing is not the primary purpose. While bronchodilation may indirectly reduce cough by improving airflow, it is not a cough suppressant.

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A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following describe a non-ST segment elevation myocardial infarction (NSTEMI)?

Correct Answer is C

Explanation

What is the purpose of a patient with COPD using an ipratropium inhaler?

Correct Answer is A

Explanation

Which diagnostic test may be prescribed to evaluate for the presence of a pulmonary embolism?

A client with a history of heart failure on daily weights has a 2-pound weight gain and pitting edema in bilateral lower extremities. Which action should the nurse take next?

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?

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