In helping to diagnose an acute MI, which electrocardiographic (ECG) change will be of most concern to the nurse when admitting a client with chest pain?
Sinus tachycardia
ST-segment elevation
Absence of Q waves
Frequent premature atrial contractions
The Correct Answer is B
A. Sinus tachycardia may occur due to pain, anxiety, or hypoxia but is nonspecific for myocardial infarction.
B. ST-segment elevation is a key indicator of acute myocardial injury and is used to diagnose ST-elevation myocardial infarction (STEMI), requiring urgent intervention.
C. The absence of Q waves is normal; the presence of pathologic Q waves develops later in MI and indicates myocardial necrosis.
D. Frequent premature atrial contractions are usually benign and not specific for acute MI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Oxygenation is not compromised; respiratory status is normal, so improving oxygenation is not the immediate priority.
B. Diltiazem works on the AV node, not the SA node, to slow conduction.
C. Anticoagulation with heparin prevents thromboembolic complications but is not the immediate priority in acute atrial fibrillation with rapid ventricular response.
D. Controlling the ventricular rate is the priority to stabilize hemodynamics, reduce myocardial oxygen demand, and prevent complications such as hypotension or heart failure.
Correct Answer is C
Explanation
A. Pulmonary artery catheters are not used to obtain arterial blood gas samples; arterial puncture or arterial lines are used for that purpose.
B. Pulmonary artery pressure monitoring does not prevent pulmonary emboli; it is a diagnostic and monitoring tool.
C. Pulmonary artery pressure monitoring allows continuous assessment of hemodynamic status, helping to evaluate the client’s response to fluid therapy and vasoactive drug administration.
D. It cannot diagnose the etiology of COPD; its use is focused on cardiovascular monitoring.
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