A client is admitted to the emergency room with chest pain and a suspected diagnosis of acute myocardial infarction (MI). Which test would the nurse expect the physician to order to make a definitive diagnosis of MI?
Complete blood count (CBC).
Lipid profile.
Electrocardiogram (ECG).
Troponin levels.
The Correct Answer is D
Choice A rationale
A complete blood count (CBC) can provide general information about the body's response to an MI, such as white blood cell count, but it is not definitive for diagnosing an MI.
Choice B rationale
A lipid profile measures cholesterol levels and helps assess cardiovascular risk, but it is not useful for diagnosing an acute MI.
Choice C rationale
An electrocardiogram (ECG) is essential for diagnosing an MI as it shows the heart's electrical activity and can indicate ischemia or infarction.
Choice D rationale
Troponin levels are the most specific and sensitive markers for myocardial infarction. Elevated troponin levels confirm heart muscle damage due to an MI, making it the definitive test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Having the patient lift their back and buttocks using a trapeze allows for proper assessment of pressure areas and skin care. This technique reduces the risk of further injury or discomfort and provides better access for the nurse to assess the skin condition.
Choice B rationale
Asking the patient to turn to the side independently may not be feasible for a patient with a pelvic fracture. This method can cause pain and risk further injury, making it an unsuitable choice for assessing pressure areas.
Choice C rationale
Rolling the patient over to the side by pushing on the patient's hip is not recommended as it can exacerbate the injury and cause pain. This method is not appropriate for patients with pelvic fractures.
Choice D rationale
Deferring back assessment until the patient is ambulatory is not a safe practice. Pressure areas should be regularly assessed to prevent skin breakdown and complications, even if the patient is not yet ambulatory.
Correct Answer is D
Explanation
Choice A rationale
Attaching a wristband indicating the client's allergy is a good practice, but it is not the priority action. The priority is to notify the provider to avoid any potential allergic reactions during the procedure.
Choice B rationale
Notifying the dietary department is not relevant in this context. The priority is to ensure the provider is aware of the allergy to prevent an adverse reaction during the cardiac catheterization.
Choice C rationale
Asking the client about other food allergies is important, but the priority action is to notify the provider immediately to ensure the safety of the client during the procedure.
Choice D rationale
Notifying the provider of the client's allergy is the priority action. This ensures that the provider can take necessary precautions to prevent an allergic reaction during the cardiac catheterization procedure.
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