A nurse is caring for a client experiencing chest pain and suspecting myocardial infarction (MI). What is the priority nursing intervention during the initial assessment?

Administering sublingual nitroglycerin.

Obtaining a 12-lead electrocardiogram (ECG).

Initiating intravenous (IV) access.

Administering aspirin.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because administering sublingual nitroglycerin is an important intervention to relieve chest pain in clients with angina pectoris, but obtaining a 12-lead ECG is the priority in a client suspected of experiencing an MI. The ECG helps in diagnosing MI and determining the appropriate treatment plan.

B) This choice is correct. The priority nursing intervention during the initial assessment of a client with suspected MI is to obtain a 12-lead ECG. The ECG provides crucial information about cardiac electrical activity and helps identify ST-segment elevation, indicating myocardial ischemia or injury.

C) This choice is incorrect because initiating intravenous (IV) access is an essential step in the management of an MI, but it is not the priority over obtaining a 12-lead ECG.

D) This choice is incorrect because administering aspirin is an essential intervention during an MI to help reduce platelet aggregation and prevent further clot formation. However, obtaining a 12-lead ECG takes precedence in the initial assessment to confirm the diagnosis and guide further interventions.

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Correct Answer is A

Explanation

A) This choice is correct. Engaging in regular physical activity and maintaining a healthy weight are effective strategies for reducing the risk of MI. Physical activity helps improve cardiovascular health, manage weight, and reduce other risk factors like hypertension and diabetes.

B) This choice is incorrect because while limiting saturated fat intake is important for heart health, it is not the most effective approach to lower the risk of MI when compared to engaging in physical activity and maintaining a healthy weight.

C) This choice is incorrect because quitting smoking and reducing alcohol consumption are essential for reducing the risk of MI, but they may not be as effective as regular physical activity and weight management.

D) This choice is incorrect because controlling stress through relaxation techniques and counseling is beneficial for overall well-being, but it may not be the most effective approach to reduce the risk of MI when compared to regular physical activity and weight management. Stress management is still an important aspect of cardiovascular health, but it should be combined with other lifestyle changes for optimal risk reduction.

Questions

A. "Switch to e-cigarettes or vaping as a less harmful alternative to smoking." B. "Gradually decrease the number of cigarettes you smoke each day." C. "Consider nicotine replacement therapy, such as patches or gum, to manage cravings." D. "Set a quit date and avoid situations or triggers that make you want to smoke."

Correct Answer is D

Explanation

A) This choice is incorrect because e-cigarettes and vaping are not considered safe alternatives to smoking and are not recommended as a way to quit smoking. They can also pose health risks to the cardiovascular system.

B) This choice is incorrect because gradually decreasing cigarette intake may not be as effective as setting a quit date and quitting smoking altogether.

C) This choice is incorrect because while nicotine replacement therapy (NRT) can be helpful for some individuals in managing cravings during the quitting process, it is not the primary recommendation. Avoiding triggers and setting a quit date are essential strategies for successful smoking cessation.

D) This choice is correct. Setting a quit date is an effective approach to quitting smoking. It allows individuals to mentally prepare for the change and commit to the process. Avoiding situations or triggers that may lead to smoking is also crucial for breaking the habit and preventing relapse.

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A nurse is caring for a client experiencing chest pain and suspecting myocardial infarction (MI). What is the priority nursing intervention during the initial assessment?

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Naxlex Comprehensive Predictor Exams

A client with multiple risk factors for myocardial infarction (MI) asks the nurse how to lower the risk. What should the nurse recommend as the most effective approach?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

A client who had an acute myocardial infarction (MI) is scheduled for percutaneous coronary intervention (PCI). The client asks the nurse about the purpose of this procedure. How should the nurse respond?

A client is experiencing chest pain that subsides with rest and nitroglycerin administration. The nurse suspects angina pectoris. What type of angina does this presentation most likely indicate?

A client with angina pectoris reports chest pain and is receiving oxygen therapy. The client asks the nurse about the purpose of oxygen administration. How should the nurse respond?

A client with angina pectoris is receiving sublingual nitroglycerin for chest pain relief. After administering the medication, what should the nurse instruct the client to do?

A client with angina pectoris is prescribed sublingual nitroglycerin tablets. What instructions should the nurse provide about taking nitroglycerin?

A client who experienced an MI is prescribed beta-blocker medication. The client asks the nurse about the purpose of this medication. How should the nurse respond?

A client who recently had a myocardial infarction (MI) is scheduled to start a cardiac rehabilitation program. The client asks the nurse about the purpose of this program. How should the nurse respond?

A nurse is caring for a client admitted with chest pain, and the healthcare provider orders a cardiac biomarker test. Which biomarker is most specific for diagnosing a myocardial infarction (MI)?