A nurse is caring for a patient who has a suspected myocardial infarction. Which of the following should the nurse administer first?
Nitroglycerin
Aspirin
Morphine
Oxygen
The Correct Answer is D
A. Nitroglycerin: Nitroglycerin is used to relieve chest pain by dilating coronary arteries and increasing blood flow. However, in the immediate setting of a suspected MI, oxygen is prioritized to ensure adequate oxygenation.
B. Aspirin: Aspirin is essential in the early treatment of MI to prevent further clot formation by inhibiting platelet aggregation, but oxygen would still come first if the client’s oxygenation is compromised.
C. Morphine: Morphine is used for pain relief and to reduce anxiety and oxygen demand on the heart. However, it is administered after ensuring oxygen supply.
D. Oxygen: Oxygen should be administered first in a suspected myocardial infarction to ensure the heart and tissues receive adequate oxygen, especially if the patient is hypoxic.
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Related Questions
Correct Answer is D
Explanation
A. Nitroglycerin: Nitroglycerin is used to relieve chest pain by dilating coronary arteries and increasing blood flow. However, in the immediate setting of a suspected MI, oxygen is prioritized to ensure adequate oxygenation.
B. Aspirin: Aspirin is essential in the early treatment of MI to prevent further clot formation by inhibiting platelet aggregation, but oxygen would still come first if the client’s oxygenation is compromised.
C. Morphine: Morphine is used for pain relief and to reduce anxiety and oxygen demand on the heart. However, it is administered after ensuring oxygen supply.
D. Oxygen: Oxygen should be administered first in a suspected myocardial infarction to ensure the heart and tissues receive adequate oxygen, especially if the patient is hypoxic.
Correct Answer is B
Explanation
A. "Was your son born with this cardiac defect?" Rheumatic fever is an acquired condition, often following a streptococcal throat infection, not a congenital (born with) cardiac defect.
B. "Has your son had a sore throat recently?" Rheumatic fever commonly follows a streptococcal throat infection, so asking about a recent sore throat is relevant and important for diagnosis.
C. "Has your child had any injuries recently?" Recent injuries are unrelated to the development of rheumatic fever and are not a pertinent question.
D. "Are you aware that your son will have to be in isolation?" Isolation is not typically required for rheumatic fever, as it is not contagious in this stage.
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