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Chest Pain algorithm

Total questions: 8

Worksheet time: 5mins

Name
Class
Date
1.

According to the Chest Pain Algorithm,

Which of the following are signs and or symptoms of heart attack?

(Select all that apply)

a)

Crushing chest pain

b)

Dyspnea & Tachypnea

c)

Baseline vital signs

d)

Nausea & Vomiting

e)

Diaphoresis & Anxiety

2.

The veteran is experiencing sudden chest pain with pain radiating down the arms. After calling for a second license for constant observation, which order set will you activate?

a)

Fever

b)

Chest Pain

c)

Change in mental status

d)

Seizure

3.

The veteran is experiencing sharp crushing chest pain and nausea.

He is alert and responsive to commands.

Which of the following will you perform to decide if the veteran is stable or unstable at this time ?

(Select all that apply)

a)

Vital Signs

b)

PO intake in the past 24 hours

c)

Pain Assessment

d)

FSBS

e)

Neurological assessment

4.

You have called for a second license for constant observation , vital signs are stable, FSBS is within normal limits and there are no signs of a stroke .

Which of the following would you perform now?

(Select all that apply)

a)

Call for code cart and AED

b)

Call Nurse Manager or NAC

c)

Anticipate Oxygen , Nitroglycerin and Aspirin orders

d)

Interview veteran's roommate about what happened

e)

Send a staff member to another unit to call for help!

5.

The veteran suddenly develops shortness of breath , pulse is barely palpable now.

Select three appropriate interventions for this veteran at this time.

a)

CONTINUE CLOSE MONITORING

b)

Call 9-911 and X 2555 CODE BLUE

c)

Administer 81 mg of chewable aspirin (ASA)

d)

Call for code cart and confirm code status

6.

The veteran is unstable and 9-911, X2555 have been called.

Code cart and AED are within reach.

What will you do next to be sure BLS will be delivered successfully when needed ?

a)

Assume staff will take on BLS roles

b)

Delegate staff for BLS roles: team leader, Compressor, Airway . AED and Recorder

c)

Delegate staff to be airway management only

d)

Await EMS to start compressions

7.

Which of the following Vital Signs would cause you to hold any Nitroglycerin administration ?

(Select all that apply)

a)

120/80

b)

88/50

c)

Pulse 49 beats per minute

d)

Pulse 110 irregular

8.

Which of the following is the American Heart Association recommended dose of Aspirin administration with chest pain?

a)

81 mg chewable aspirin

b)

One baby aspirin

c)

325 mg chewable asprin

d)

650 mg of Aspirin