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 B

Explanation

Choice A reason: A PR interval of 0.04-0.20 seconds is too broad and includes values that are both below and above the normal range.

Choice B reason: A PR interval of 0.12-0.20 seconds is the established normal range for adults, reﬂecting proper conduction through the AV node.

Choice C reason: The PR interval being less than half the R-to-R ratio is not a standard measurement for PR intervals and does not provide a specific range.

Choice D reason: A PR interval of 0.08-0.10 seconds is below the normal range and may suggest pre-excitation or an AV nodal (junctional) rhythm.

A. Lactated Ringer's solution B. 0.45% sodium chloride (0.45% NaCl) C. 10% dextrose in water (D10W) D. 5% dextrose in lactated Ringer's solution (D5LR)

Correct Answer is C

Explanation

Choice A reason: Lactated Ringer's solution does not provide the necessary glucose and may not be compatible with TPN.

Choice B reason: 0.45% sodium chloride (0.45% NaCl) is a hypotonic solution and does not provide adequate calories for a patient on TPN.

Choice C reason: 10% dextrose in water (D10W) is the appropriate choice as it provides a source of calories and prevents hypoglycemia until the next TPN bag is available.

Choice D reason: 5% dextrose in lactated Ringer's solution (D5LR) provides less dextrose than D10W and may not prevent hypoglycemia as eﬀectively.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The normal PR interval is:

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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