A patient who has chest pain is admitted to the emergency department (ED), and all of the following are ordered. Which one should the nurse arrange to be completed first?
Troponin level
Electrocardiogram (ECG)
Insertion of a peripheral IV
Chest X-ray
The Correct Answer is B
A. A troponin level will confirm myocardial injury but should be done after an ECG, as the ECG provides immediate information on the condition.
B. The first action in a chest pain situation is to obtain an ECG to assess for myocardial infarction or other cardiac abnormalities. The ECG provides immediate information about the heart's electrical activity and can help identify whether the chest pain is related to a cardiac event.
C. Insertion of a peripheral IV is important for administering medications and fluids, but it is not as urgent as obtaining an ECG to evaluate the patient's heart.
D. A chest X-ray is useful for other potential diagnoses (e.g., pulmonary embolism or pneumothorax) but is not the first step in diagnosing a myocardial event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A troponin level will confirm myocardial injury but should be done after an ECG, as the ECG provides immediate information on the condition.
B. The first action in a chest pain situation is to obtain an ECG to assess for myocardial infarction or other cardiac abnormalities. The ECG provides immediate information about the heart's electrical activity and can help identify whether the chest pain is related to a cardiac event.
C. Insertion of a peripheral IV is important for administering medications and fluids, but it is not as urgent as obtaining an ECG to evaluate the patient's heart.
D. A chest X-ray is useful for other potential diagnoses (e.g., pulmonary embolism or pneumothorax) but is not the first step in diagnosing a myocardial event.
Correct Answer is D
Explanation
A. Electrode patches relate to ECG, not TEE.
B. Keeping a leg straight is relevant for procedures involving femoral access, like cardiac catheterization.
C. Lying quietly on one side is not specific to TEE preparation.
D. Sedation helps patients tolerate the TEE, which involves passing a probe down the esophagus.
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