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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.
Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.
Correct Answer is ["82.5"]
Explanation
The general rule of thumb for urine output is 0.5 mL/kg/hour.
Step 1: Convert the patient's weight from pounds to kilograms.
We know that 1 kg = 2.2 lbs.
So, we have:
363 lbs ÷ 2.2 = 165 kg (rounded to the nearest whole number)
Step 2: Calculate the urine output using the rule of 0.5 mL/kg/hour. So, we have:
165 kg × 0.5 mL/kg/hour = 82.5 mL/hour
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