Exam 58: Management of Clients with Myocardial Infarction

A client newly diagnosed with STEMI has the nursing diagnosis Anxiety related to hospital admission. The nurse assesses that goals have been met when the client

In the discharge teaching plan for a client after MI, the nurse would include that the client should

Four hours after the onset of pain from an MI, the nurse would expect an increase in which laboratory result?

For a 40-year-old client who wants to be more active the first 24 hours after an MI, the nurse could safely suggest that the client

A client has received thrombolytic therapy after an ST segment myocardial infarction (STEMI). A half-hour later, the nurse notices frequent PVCs. The most appropriate action by the nurse is to

A client is scheduled for the "early release" discharge after suffering an STEMI. Which action by the nurse would most facilitate a successful outcome after discharge?

The nurse would remind a client that the cause of sudden death after myocardial infarction is usually

For a client whose resting pulse rate is 71 beats/min, the nurse would check the client's pulse rate to ensure that during post-MI activities, the client's heart rate does not exceed

A home health care nurse is visiting a client who was dismissed after having an STEMI (ST-elevation myocardial infarction). The nurse is reinforcing teaching done while the client was hospitalized. When the nurse asks the client if he/she has any more questions, the client says no but appears anxious. The best action by the nurse would be to

A client admitted for angina reports experiencing pain of long duration while at rest and also early in the morning. The nurse would recognize this pattern as

A nurse is instructing a client in the proper administration of sublingual nitroglycerin (NTG). The nurse would include in the teaching plan information that the client should

A client is being evaluated in the emergency department for possible thrombolytic therapy to treat an STEMI. The nurse assesses a relative contraindication for this treatment, which is

In order to be most effective, the nurse planning a new cardiac rehabilitation program for the community hospital realizes to be most successful, the program

A nurse is visiting a client in the home 3 weeks after having an STEMI. The client appears distressed and the spouse is nervously hovering nearby. Which assessment by the nurse would provide the most useful data? The nurse should inquire if

When the immediate post-MI client complains about the high-fiber diet and being encouraged to drink water, the nurse would inform the client that the purpose of such a diet is to

After instructing a client with stable angina, the nurse would evaluate that the client has a proper understanding of the condition when the client says

A nurse is reinforcing diet teaching done by the dietitian. The nurse would evaluate that some goals have been met when the client admitted for angina requests which foods for breakfast?

The nurse would explain to a client that increased levels of troponin I are evident within

A client in intensive care has had an STEMI. The client is alternately yelling out and crying. The client states "I'll never be able to go back to work again!" The most appropriate nursing diagnosis for this client is

The nursing actions that would most help to prevent cardiogenic shock in a client after a myocardial infarction are (Select all that apply)