In planning care for a patient with acute myocardial infarction (AMI), which of the following should the nurse identify as the highest priority goal of care?

Stable ECG rhythm

Ability to verbalize causes and eﬀects of CHD/CAD

Adequate relief of pain

Compliance with prescribed bedrest

Answer and Explanation

The Correct Answer is C

Choice A reason : While maintaining a stable ECG rhythm is important, it is not the highest priority. The primary concern is to address life-threatening complications.

Choice B reason : Educating the patient about the causes and eﬀects of coronary heart disease (CHD) or coronary artery disease (CAD) is important for long-term management but is not the immediate priority during acute care.

Choice C reason : Adequate relief of pain is the highest priority in the care of a patient with AMI. Pain is an indicator of ongoing ischemia and can increase the workload of the heart, thereby worsening the condition.

Choice D reason (AMI): While bedrest is part of the care plan, it is not the highest priority compared to pain relief, which has direct implications on the patient's immediate physiological status.

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Correct Answer is C

Explanation

Choice A reason: Rest pain is a symptom of advanced PAD and is not typically an early symptom.

Choice B reason: Dependent rubor may indicate PAD but is not as specific as intermitent claudication for early-stage PAD.

Choice C reason: Intermitent claudication, which is pain during exercise that resolves with rest, is a classic early symptom of PAD.
Choice D reason: Irregular foot ulcers are a sign of advanced PAD and are not typically found in the early stages of the disease.

A. Renal biopsy B. Routine urinalysis C. Renal scan D. Creatinine clearance

Correct Answer is A

Explanation

Choice A reason : A renal biopsy is an invasive procedure that can directly assess the extent of glomerular damage and is considered the gold standard for diagnosing the cause of abnormal GFR.

Choice B reason : Routine urinalysis can detect abnormalities in the urine but cannot quantify GFR or directly assess glomerular damage.

Choice C reason : A renal scan can evaluate renal perfusion and function but is less specific for glomerular damage compared to a biopsy.

Choice D reason : Creatinine clearance can estimate GFR but does not provide information on the specific cause of glomerular damage.

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In planning care for a patient with acute myocardial infarction (AMI), which of the following should the nurse identify as the highest priority goal of care?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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