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A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Distribution

Onset

Intensity

Location

Radiation

Alleviated

Answer and Explanation

Correct Answer : A,B,C,D,E,F

Rationale:

A. Distribution refers to the area of the body where the pain is felt.

B. Onset refers to when the pain started.

C. Intensity refers to the severity of the pain.

D. Location refers to where the pain is felt.

E. Radiation refers to whether the pain spreads to other areas.

F. Alleviated refers to what makes the pain better or worse.

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Correct Answer is D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

A. Tenormin (Atenolol) B. Heparin C. Keflex (Cephalexin) D. Hold all medications

Correct Answer is A

Explanation

Rationale:

A. Tenormin (Atenolol) is a beta-blocker that reduces the heart rate and may affect the results of the stress test. Therefore, it should be held the morning of the test.

B. Heparin is an anticoagulant and is not typically held before a stress test.

C. Keflex (Cephalexin) is an antibiotic and is not typically held before a stress test.

D. Holding all medications is not necessary for a stress test, but specific medications that may interfere with the test, such as beta-blockers, should be held.

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A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

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Correct Answer is D

Explanation

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?

Correct Answer is A

Explanation

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