A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client’s coronary blood vessels?
Alteplase (fibrinolytics)
IV Nitroglycerine
Metoprolol (beta blockers)
IV Heparin
The Correct Answer is B
Rationale:
A. Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial infarction (AMI).
B. IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.
C. Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen demand.
D. IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial infarction (AMI).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.
B. Notifying the dietary department is not necessary in this situation.
C. Asking about other foods is important but not the priority at this time.
D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.
Correct Answer is B
Explanation
Rationale:
A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.
B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.
C. Pacing activities is important but is not specific to sodium intake.
D. Naproxen is not typically used to manage discomfort in congestive heart failure.
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