Cardiac Assessment

A client with crushing chest pain is being triaged in the Emergency Department. The monitor shows the client has an elevation of the ST segment. What is the priority intervention the nurse will take?

• Contact the Cath Lab team

• Prepare client for emergency cardiac surgery

• Administer Nitroglycerine, Beta blockers, and statins

• Call a Rapid Response

The nurse is caring for a 1 day post CABG client. What interventions does the nurse need to take while caring for the client? Select all that apply.

• Administer pain medication prior to ambulating

• Keep client bedrest until chest tube is removed

• Encourage Incentive Spirometry every 2 hours

• Monitor closely for hemodynic status

• Monitor closely for rhythm changes

Some ECG changes seen with Unstable Angina are

• ST segment changes and T wave inversions

• QRS changes and T wave inversions

• ST segment changes and T wave elevation

An MI is caused by an occlusive thrombus.

• True

• False

The right coronary artery supplies blood to the ______________________________.

• left ventricle and inferior wall of the right atrium.

• right ventricle and inferior wall of the left ventricle.

• right atrium and posterior wall of the right ventricle.

• left ventricle and posterior wall of the right ventricle.

A nurse is caring for a client with a Unstable Angina. The EKG shows no ST elevation. The client asks the nurse how will I know what I have? What is the nurse's best response?

• Troponin levels

• The myoglobin was high so you had a heart attack

• We should ask the doctor

• High troponin levels indicate a heart attack

The client's initial cardiac enzyme levels were drawn at 0800 and the troponin results were 0.09. The nurse anticipates the next cardiac enzyme results should be in the computer at what time?

• 1000 am

• after 12 noon

• at 0800 the next day

The nurse is caring for a client with Myocardial Infarction. During discharge teaching the nurse knows the client will be put on the following medications.

• Beta blocker, Antiplatelet, and Statins

• Ace inhibitors, Opioids, and Antiplatelets

• Beta blocker, Thrombolytics, and Nitrates

• Nitrates, Beta Blockers, and Glycoprotein Inhibitors

A client enters an emergency room and is diagnosed with a STEMI. The hospital does not have a cath lab. What is the priority intervention the nurse needs to complete?

• Thrombolytic therapy

• Transfer client to a hospital with cath lab

• Perform an EKG

• Call RRT

The main goal for performing a PCI or thrombolytic therapy on an MI client is to

• calm them down

• improve heart function

• reperfuse the heart

• prevent dysrhythmias