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. Aortic stenosis: Aortic stenosis can lead to heart failure due to left ventricular outflow obstruction, but it is not the most direct cause of pulmonary edema. This condition may present with other symptoms, such as chest pain or syncope, rather than fluid accumulation in the lungs.
B. Left-sided heart failure: Left-sided heart failure is a primary cause of pulmonary edema, as it leads to increased pressure in the pulmonary circulation and fluid leakage into the alveoli. Assessing for this condition is crucial, as it directly contributes to the patient's pulmonary edema and requires immediate management.
C. Mitral valve prolapse: Mitral valve prolapse can cause mitral regurgitation and lead to heart failure, but it is less commonly associated with acute pulmonary edema compared to left-sided heart failure. While assessment is important, it is not the priority in this scenario.
D. Right-sided heart failure: Right-sided heart failure typically leads to systemic congestion and peripheral edema rather than pulmonary edema. While it can coexist with left-sided heart failure, it is not the primary concern when assessing a patient specifically for pulmonary edema.
Correct Answer is D
Explanation
A. Obtaining a STAT electrocardiogram: While obtaining an electrocardiogram (ECG) can be important in evaluating a patient's cardiac status, it is not the highest priority in the context of suspected AAA rupture. Immediate management focuses on stabilizing the patient and addressing potential hemorrhagic shock.
B. Inserting an indwelling urinary catheter: Inserting a urinary catheter may be necessary for monitoring urine output, but it is not the immediate priority when managing a suspected AAA rupture. The focus should be on life-threatening conditions first.
C. Increasing cardiac contractility: Increasing cardiac contractility may be relevant in some clinical situations, but it does not directly address the urgent need to maintain hemodynamic stability and prevent shock in a patient with suspected AAA rupture.
D. Maintaining blood pressure: Maintaining blood pressure is the highest priority intervention in this scenario. Patients with a suspected AAA rupture are at high risk for hypovolemic shock due to internal bleeding. Ensuring adequate blood pressure is critical to perfusing vital organs and stabilizing the patient before surgical intervention.
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