The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

Obtain a STAT electrocardiogram

Have the client sit down immediately

Assess the client's vital signs

Administer sublingual nitroglycerin

Answer and Explanation

The Correct Answer is B

A. Obtaining an ECG is important but not the first action. The priority is to stop activity, as exertion can worsen myocardial oxygen demand.
B. Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia or infarction.
C. Assessing vital signs is important but should follow stopping activity. Chest pain requires immediate action to reduce cardiac strain.
D. Administering sublingual nitroglycerin is appropriate but should be done after ensuring the client is seated. This prevents hypotension and syncope from occurring while standing.

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Correct Answer is A

Explanation

A. Adequate hydration helps thin mucus secretions, making them easier to expectorate. Drinking 2 to 3 L of water daily is recommended unless contraindicated by another condition.
B. Semi-Fowler's position can help with breathing but does not directly aid in thinning secretions.
C. Oxygen therapy helps with oxygenation but does not address thick mucus.
D. A low-salt diet may be beneficial for overall health but does not directly impact mucus consistency.

A. A complete occlusion of the coronary artery B. Chest pain upon exertion that resolves with rest C. A partial occlusion of the coronary artery D. Chest pain while at rest

Correct Answer is C

Explanation

A. A complete occlusion of the coronary artery is characteristic of an ST-segment elevation myocardial infarction (STEMI), not an NSTEMI.
B. Chest pain that resolves with rest is more indicative of stable angina rather than NSTEMI.
C. An NSTEMI occurs due to a partial occlusion of a coronary artery, leading to myocardial ischemia and damage without ST-segment elevation on an ECG.
D. Chest pain at rest can be seen in both unstable angina and NSTEMI, but it is not the defining feature of NSTEMI.

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The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Which of the following describe a non-ST segment elevation myocardial infarction (NSTEMI)?

Correct Answer is C

Explanation

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