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. Obstructive sleep apnea is a risk factor for the development of hypertension.
B. Benazepril is an antihypertensive medication and is not a risk factor for hypertension.
C. A high HDL level is a protective factor against the development of hypertension.
D. A regular exercise routine is a protective factor against the development of hypertension.
Correct Answer is A
Explanation
Rationale:
A. Sudden weakness of one arm and leg may indicate a stroke, which is a potential complication of atrial fibrillation.
B. An irregular heart rate without P waves is characteristic of atrial fibrillation and is expected.
C. Cloudy and odorous urine may indicate a urinary tract infection but is not the priority in this case.
D. An aPTT of 80 seconds is within the therapeutic range for heparin therapy.
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