A client comes to the emergency department with chest pain, and the nurse suspects a myocardial infarction (MI). What is the priority action for the nurse?
Obtain a detailed health history from the client.
Administer aspirin as prescribed.
Perform a complete physical examination.
Place the client in a supine position.
The Correct Answer is B
A) This choice is incorrect because obtaining a detailed health history is important, but administering aspirin is the priority action in a suspected MI. Aspirin helps to prevent further clot formation and reduces the risk of complications during a myocardial infarction.
B) This choice is correct. Administering aspirin as prescribed is the priority action in a suspected MI. Aspirin acts as an antiplatelet agent and can help to prevent the formation of blood clots that could exacerbate the blockage in the coronary artery.
C) This choice is incorrect because while performing a complete physical examination is important, administering aspirin takes precedence in a suspected MI to address the potential clot formation.
D) This choice is incorrect because placing the client in a supine position is not the priority action in a suspected MI. The client's position should be adjusted based on their comfort and ability to breathe effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because measuring the levels of cardiac biomarkers in the blood is not the purpose of coronary angiography. Cardiac biomarkers are measured through blood tests to diagnose conditions like myocardial infarction (MI).
B) This choice is incorrect because a stress test evaluates the heart's response to increased demand and is different from coronary angiography.
C) This choice is correct. Coronary angiography is an invasive procedure that involves injecting a contrast dye into the coronary arteries. The dye allows visualization of the coronary arteries and identifies any blockages or narrowing that may be causing angina or other cardiac symptoms.
D) This choice is incorrect because assessing the heart's function using sound waves is characteristic of an echocardiogram, not coronary angiography.
Questions
Correct Answer is B
Explanation
A) This choice is incorrect because vasospasm of the coronary arteries, known as variant (Prinzmetal) angina, is a type of angina pectoris but not the primary cause of MI. Vasospasms may contribute to the development of unstable angina but are not the primary mechanism leading to MI.
B) This choice is correct. The formation of atherosclerotic plaques within the coronary arteries is the primary cause of MI. Atherosclerosis is a gradual process of plaque buildup, narrowing the coronary arteries, and reducing blood flow to the heart muscle. If a plaque ruptures, it can lead to the formation of a blood clot that completely obstructs the artery, causing MI.
C) This choice is incorrect because inflammation of the heart muscle, known as myocarditis, is a separate condition and not the primary cause of MI.
D) This choice is incorrect because increased heart rate and contractility can be associated with certain conditions but are not the primary cause of MI. MI is primarily caused by atherosclerotic plaque formation and subsequent thrombus formation in the coronary arteries.
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.