A client presents to the emergency department with chest pain and is suspected of having a myocardial infarction (MI). The client asks the nurse about the diagnostic test used to confirm the diagnosis. Which test should the nurse mention?

Electrocardiogram (ECG).

Echocardiogram.

Magnetic Resonance Imaging (MRI).

Chest X-ray.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. An electrocardiogram (ECG) is one of the primary diagnostic tests used to confirm the diagnosis of a myocardial infarction (MI). An ECG can show characteristic changes, such as ST-segment elevation or Q waves, indicative of myocardial ischemia and injury.

B) This choice is incorrect because an echocardiogram is a useful imaging test to assess the heart's structure and function, but it is not the primary diagnostic test for confirming an MI.

C) This choice is incorrect because a magnetic resonance imaging (MRI) is a valuable tool for assessing heart function and detecting certain cardiac abnormalities, but it is not typically the initial diagnostic test for MI.

D) This choice is incorrect because a chest X-ray can help identify other conditions like pulmonary edema or lung disorders, but it is not the primary diagnostic test for MI.

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Correct Answer is D

Explanation

A) This choice is incorrect because smoking is a modifiable risk factor for MI. Cessation of smoking can significantly reduce the risk of developing MI and other cardiovascular diseases.

B) This choice is incorrect because a sedentary lifestyle is a modifiable risk factor for MI. Engaging in regular physical activity can help reduce the risk of MI.

C) This choice is incorrect because diabetes mellitus is a modifiable risk factor for MI. Managing diabetes through lifestyle changes, medications, and blood sugar control can help reduce the risk of cardiovascular complications, including MI.

D) This choice is correct. A family history of MI is a non-modifiable risk factor because it is based on genetic factors that cannot be changed through lifestyle modifications. Having a close relative with a history of MI increases an individual's risk of developing MI, but it cannot be altered or eliminated through lifestyle changes.

A. To assess for the presence of atherosclerotic plaques. B. To measure cardiac biomarker levels in the blood. C. To evaluate the heart's response to increased demand. D. To visualize the coronary arteries for blockages.

Correct Answer is C

Explanation

A) This choice is incorrect because a stress test is not primarily used to assess for the presence of atherosclerotic plaques. It is used to evaluate the heart's response to increased demand and identify exercise-induced changes in the ECG, which may indicate myocardial ischemia.

B) This choice is incorrect because a stress test does not measure cardiac biomarker levels in the blood. Cardiac biomarkers like troponin are typically measured through blood tests to diagnose myocardial infarction (MI).

C) This choice is correct. The primary purpose of a stress test is to evaluate the heart's response to increased demand, such as physical exercise or the administration of medication that simulates exercise. During the test, the client's heart rate, blood pressure, and ECG are monitored for signs of ischemia.

D) This choice is incorrect because a stress test is not used to visualize the coronary arteries for blockages. It is a non-invasive test primarily used to assess the heart's functional capacity.

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A client presents to the emergency department with chest pain and is suspected of having a myocardial infarction (MI). The client asks the nurse about the diagnostic test used to confirm the diagnosis. Which test should the nurse mention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of clients about the risk factors for myocardial infarction (MI). Which risk factor is considered a non-modifiable risk factor for MI?

Correct Answer is D

Explanation

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

Correct Answer is C

Explanation

A nurse is providing education to a client who recently had an MI about dietary changes to improve heart health. The nurse advises the client to limit intake of saturated fats. Which food choices should the client avoid to comply with this recommendation?

A nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?

A client with a history of angina pectoris asks the nurse about the underlying cause of the chest pain. What should the nurse explain to the client?

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?

A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

A nurse is providing education to a client who recently had an MI about the importance of medication adherence. The client expresses concerns about potential side effects of the prescribed medications. What should the nurse do to address the client's concerns effectively?

A client with acute myocardial infarction (MI) is prescribed aspirin. The client asks the nurse about the purpose of this medication. How should the nurse respond?

A client with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?