The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)
An ACE inhibitor
Thrombolytics
Aspirin
A potassium-sparing diuretic
A beta blocker
Correct Answer : B,C,E
A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.
B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.
C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.
D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.
E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. ACE inhibitors primarily lower blood pressure and are not commonly used to treat coronary artery spasms.
B. Calcium channel blockers are commonly used to treat both stable angina and coronary artery spasms because they relax blood vessels, improving blood flow to the heart.
C. Beta blockers primarily reduce heart rate and blood pressure and are not typically used to treat coronary artery spasms.
D. Thrombolytics are used to dissolve blood clots and are not indicated for coronary artery spasms.
Correct Answer is D
Explanation
Explanation:
A. Diltiazem is not a beta blocker; it belongs to a different class of medications.
B. Sodium channel blockers are a different class of drugs used for various cardiac arrhythmias.
C. Alpha blockers are used to treat conditions such as hypertension and benign prostatic hyperplasia, but diltiazem is not in this class.
D. Diltiazem is a calcium channel blocker, commonly used to treat hypertension, angina, and certain heart rhythm disorders.
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