The nurse correlates which rationale with the administration of aspirin to the client experiencing angina-like chest pain?

Analgesic properties without sedation.

Vasoconstriction and improved blood flow.

Platelet inhibition to reduce clot formation.

Cardiotonic properties and improved contraction.

Answer and Explanation

The Correct Answer is C

Choice A reason: Aspirin does have analgesic properties, which help relieve pain. However, this is not the primary reason for its administration in the context of angina-like chest pain. The analgesic effect of aspirin without sedation is more relevant in the management of general pain or headaches.

Choice B reason: Vasoconstriction and improved blood flow are not effects of aspirin. In fact, aspirin's mechanism of action involves preventing platelet aggregation, which can indirectly improve blood flow by reducing the risk of clot formation. Vasoconstriction is not an effect associated with aspirin.

Choice C reason: The primary rationale for administering aspirin to a client with angina-like chest pain is its antiplatelet effect. Aspirin inhibits platelet aggregation, reducing the risk of clot formation. This is crucial in preventing further blockage of coronary arteries, which can exacerbate angina or lead to myocardial infarction.

Choice D reason: Cardiotonic properties and improved contraction are not associated with aspirin. Cardiotonic drugs enhance the strength of the heart's contractions, which is not an action of aspirin. Aspirin's role in this context is to prevent platelet aggregation and reduce the risk of clot-related complications.

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Correct Answer is ["B","C"]

Explanation

Choice A reason: Auscultating for irregular heart tones can provide useful information about the heart’s rhythm and potential arrhythmias. However, it is not the most specific or definitive assessment for diagnosing a myocardial infarction (MI).

Choice B reason: Assessing for ST elevations on continuous telemetry and 12-lead EKG is critical in diagnosing a myocardial infarction. ST-segment elevation is a key indicator of an acute MI, specifically indicating myocardial injury. Continuous telemetry and 12-lead EKG provide real-time and detailed views of the heart's electrical activity, helping to identify ischemic changes.

Choice C reason: Assessing for elevated Troponin levels is essential because Troponins are cardiac biomarkers that increase significantly when there is damage to the heart muscle, such as during an MI. Elevated Troponin levels are highly specific and sensitive indicators of myocardial infarction, making this assessment crucial.

Choice D reason: Assessing for low magnesium levels is not directly related to diagnosing a myocardial infarction. While magnesium levels are important for overall cardiac function, they do not specifically indicate an acute MI.

Choice E reason: Assessing the client's blood pressure is an important part of a comprehensive assessment and can provide information about the patient's hemodynamic status. However, it is not specific to diagnosing a myocardial infarction.

Choice F reason: Assessing if the pain radiates to the left arm is an important symptom of a myocardial infarction. However, while it supports the suspicion of an MI, it is not as definitive as ST elevation on an EKG or elevated Troponin levels.

A. Serum potassium (K) and sodium (Na) levels. B. Temperature and blood pressure. C. Daily weight and edema. D. Serum creatinine (Cr) and blood urea nitrogen (BUN) levels.

Correct Answer is D

Explanation

Choice A reason: Monitoring serum potassium and sodium levels is important in many clinical situations, but it is not the primary concern when administering Vancomycin. Vancomycin can cause nephrotoxicity, which is best assessed by monitoring kidney function indicators such as serum creatinine and blood urea nitrogen levels.

Choice B reason: Temperature and blood pressure should be monitored regularly in patients receiving IV medications, especially antibiotics, to detect signs of infection or adverse reactions. However, the specific priority when administering Vancomycin is monitoring for nephrotoxicity, which is more accurately assessed through serum creatinine and BUN levels.

Choice C reason: Daily weight and edema monitoring are important for assessing fluid balance and potential heart or kidney issues. While useful, these are not the primary markers for detecting complications related to Vancomycin administration.

Choice D reason: Serum creatinine and blood urea nitrogen levels are critical indicators of kidney function. Vancomycin can cause nephrotoxicity, so monitoring these levels helps detect any signs of kidney injury early, ensuring appropriate adjustments to the medication regimen to prevent further damage.

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The nurse correlates which rationale with the administration of aspirin to the client experiencing angina-like chest pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following cues should the nurse assess to determine if the client is experiencing a myocardial infarction? Pick 2 answers.

Correct Answer is ["B","C"]

Explanation

The client is receiving IV doses of Vancomycin every 12 hours. Which would be the nurse's priority to monitor for complications during the period that the patient is receiving this drug?

Correct Answer is D

Explanation

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