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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

A. Right lower quadrant. B. Left lower quadrant. C. Right upper quadrant. D. Left upper quadrant.

Correct Answer is A

Explanation

Choice A rationale

A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.

Choice B rationale

The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.

Choice C rationale

The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.

Choice D rationale

The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer is D

Explanation

A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.The nurse is aware the stoma will be in what area of the client's abdomen?

Correct Answer is A

Explanation

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