What electrocardiogram (ECG) change would the healthcare professional assess for when a patient's myocardial infarction through the myocardium from the endocardium to the epicardium?
Prolonged PR interval
ST depression
OST elevation
Prolonged QT interval
The Correct Answer is C
A. Prolonged PR interval: A prolonged PR interval is typically indicative of first-degree atrioventricular (AV) block and does not specifically relate to the presence of myocardial infarction (MI) that extends through the myocardium.
B. ST depression: ST depression can indicate subendocardial ischemia, but it is not a definitive change associated with a full-thickness myocardial infarction. It is more commonly seen during stress testing or in cases of angina rather than a transmural infarction.
C. ST elevation: ST elevation is a characteristic finding in cases of transmural myocardial infarction (MI), indicating that the injury extends through the myocardium from the endocardium to the epicardium. This elevation occurs due to the acute injury to the myocardial cells, leading to changes in the electrical activity as reflected on the ECG.
D. Prolonged QT interval: A prolonged QT interval is associated with an increased risk of arrhythmias but does not specifically indicate a myocardial infarction that penetrates through the myocardium. It is generally not directly related to the ischemic process of an MI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Septal: Septal cardiomyopathy typically refers to abnormalities in the interventricular septum and does not specifically address the rigidity and noncompliance of the myocardium that affects diastolic filling.
B. Restrictive: Restrictive cardiomyopathy is characterized by a rigid and noncompliant myocardium that impedes ventricular filling during diastole. This results in elevated pressures in the ventricles and may lead to heart failure symptoms due to poor filling capacity.
C. Infiltrative: Infiltrative cardiomyopathy involves the deposition of abnormal substances (such as amyloid or sarcoid) within the myocardial tissue, which can lead to stiffness. While this may contribute to restrictive physiology, "restrictive" is the more precise term for the condition described.
D. Hypertrophic: Hypertrophic cardiomyopathy is characterized by an abnormal thickening of the heart muscle, particularly the left ventricle. While this condition can affect diastolic filling, it is primarily due to muscle hypertrophy rather than rigidity and noncompliance of the myocardium.
Correct Answer is A
Explanation
A. Deep vein thrombosis: Patients with deep vein thrombosis (DVT) are at a significantly higher risk for developing pulmonary embolism (PE) due to the potential for thrombus formation in the veins to dislodge and travel to the lungs. Assessing this patient as a priority is crucial, as timely intervention can prevent the development of PE.
B. Endocarditis: While endocarditis can lead to embolic events, it typically results in systemic emboli rather than specifically causing pulmonary embolism. The immediate priority for PE assessment is lower in patients with endocarditis compared to those with DVT.
C. Left heart failure: Left heart failure can lead to pulmonary congestion and respiratory symptoms but does not directly indicate a high risk of pulmonary embolism. While it is important to monitor these patients, assessing for PE is not the immediate priority.
D. Valvular disease: Valvular disease can increase the risk of thrombus formation, particularly if it results in atrial fibrillation. However, the direct connection to pulmonary embolism is not as pronounced as in patients with DVT. Therefore, assessing patients with valvular disease for PE is not the priority compared to those with DVT.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.