Med Surg 2, Exam 1 Cardiac (with complete solutions)

A 51-year-old Hispanic man came to the hospital 2 days ago for recurrent exacerbation of heart failure. He weighs 237 lbs and is 5' 8" tall. He has IV access in his left forearm and is on oxygen at 2 L per nasal cannula. When you assess the patient, he is sitting on the side of the bed and appears to be short of breath. He tells you that he has just returned from the bathroom. He is sweating and his nasal cannula is laying on the bedside table. correct answers Which action should you take first? 8Replace the oxygen.* Take his vital signs. Call the Rapid Response Team. Sit him up in a bedside chair. A patient arrives at an urgent care center after experiencing unrelenting substernal and epigastric pain and pressure for about 12 hours. The nurse reviews laboratory results with the understanding that at this point in time, a myocardial infarction would by indicated by peak levels of correct answers Troponin is the biomarker of choice in the diagnosis of myocardial infarction. Troponin is a myocardial muscle protein released into the circulation after injury. Troponin levels peak at 10 to 24 hours. A patient returns to the cardiac observation area following a cardiac catheterization with coronary angiography. Which of the following assessments would require immediate action by the nurse? 1. Pedal pulses are 2+ bilaterally. 2. Apical pulse is 54 beats/minute. 3. Mean arterial pressure is 72 mm Hg. 4. ST-segment elevation develops on the ECG. correct answers : ST elevation on ECG indicates myocardial ischemia or injury with partial or total occlusion of a coronary artery. This assessment finding requires immediate action. Actions would include assessment for chest pain, 12-lead ECG, administration of nitroglycerin or morphine, and notification of the health care provider. Option 1 would need further assessment but is not critical unless the patient is symptomatic (chest pain, shortness of breath, hypotension, etc.). Options 2 and 3 are normal findings. Abdominal aortic aneurysm resection. correct answers Graft rejection Blood loss, kidney injury, resp distress Swelling, redness, decrease pulses Post proceudre ATI 240 Vitals Cardiac monitor Assess distal pulses Bowel sounds