A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

NSTEMI

Stable Angina

STEMI

Unstable Angina

Answer and Explanation

The Correct Answer is C

Rationale:

A. This is wrong because the ECG leads show ST segment elevation.

B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.

C. This is correct because of the ST segment elevation.

D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.

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Correct Answer is B

Explanation

Rationale:

A. Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.

B. Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.

C. Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.

D. Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.

A. Hypocalcemia B. Hypernatremia C. Hyperkalemia D. Hypokalemia

Correct Answer is D

Explanation

Rationale:

A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.

B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.

C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.

D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.

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A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

Correct Answer is B

Explanation

A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Correct Answer is D

Explanation

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