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 C
Explanation
A. Administration of broad-spectrum antibiotics: Broad-spectrum antibiotics are not a primary treatment for asthma, as asthma is an inflammatory condition and not primarily caused by bacterial infections. Antibiotics may be used for coexisting infections but are not the most successful initial treatment for chronic asthma.
B. Administration of drugs that decrease airway inflammation: While decreasing airway inflammation is important in managing asthma, the most successful long-term treatment begins with addressing the underlying causes and triggers. Reducing inflammation is part of the treatment strategy but is not the first action.
C. Avoidance of the causative agent: Avoiding the causative agent or trigger of asthma is the most successful initial treatment. Identifying and eliminating exposure to allergens or irritants, such as pollen, smoke, or pet dander, can significantly reduce the frequency and severity of asthma attacks, making it the foundational step in asthma management.
D. Administration of drugs that reduce bronchospasm: Medications that reduce bronchospasm, such as bronchodilators, are essential for immediate relief of asthma symptoms. However, they do not address the underlying inflammation and triggers, making avoidance of causative agents the most successful initial treatment for chronic asthma.
Correct Answer is A
Explanation
A. Prinzmetal or variant angina: Prinzmetal angina, also known as variant angina, is characterized by episodes of chest pain due to vasospasms of the coronary arteries. This type of angina can occur unpredictably, often at rest, and is associated with transient ischemia of the heart muscle.
B. Unstable angina: Unstable angina is characterized by sudden, unpredictable chest pain that occurs at rest or with minimal exertion and may last longer than stable angina. It indicates a significant risk of myocardial infarction but is not primarily caused by vasospasm.
C. Angina pectoris: Angina pectoris is a general term for chest pain due to ischemia, which can be stable or unstable. It does not specifically refer to the vasospasm that defines Prinzmetal angina.
D. Stable angina: Stable angina is characterized by predictable chest pain that occurs with exertion or stress and is relieved by rest or nitroglycerin. It is not associated with coronary artery vasospasms.
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