MI's
The patient was admitted with an anterior wall STEMI and received a stent in the left anterior descending (LAD) artery. Which lead should the nurse monitor for this patient after the PCI procedure?
V2 (Question 42).
Sinus brady or complete heart block may be seen in what type of MI?
Inferior MI (Question 8).
Rewarming a patient who is post-op heart surgery may result in which hemodynamic change?
Vasodilation with decreased blood pressure (Question 33).
A right ventricular (RV) infarct will exhibit ST elevations in what leads?
V3R, V4R (Question 8).
Which intervention is indicated in the management of chest tubes for a postoperative cardiac surgery patient?
Avoid dependent loops or kinking (Question 21).
Second-degree AV block (Type II) is most likely a complication of which type of acute myocardial infarction?
Anterior MI (Question 7).
A cardiologist tells the RN that a patient has a history of a diastolic murmur and atrial fibrillation. What is associated with these signs?
Mitral stenosis (Question 5).
The RN is caring for a patient post-op cardiac surgery and notes that the patient’s chest tube output has been greater than 100 mL for two consecutive hours. What will the nurse do next?
Contact the physician (Question 22).
The patient is status post-PCI for acute high lateral wall MI. Which leads will the nurse continually monitor for ST changes following the procedure?
Leads I and aVL (Question 6).
The nurse notes that the cardiac monitor of a patient with a VVI pacemaker is intermittently showing spikes not followed by a QRS. The patient has which of the following?
Failure to capture (Question 15).
The patient complains of midsternal chest pain at rest, and the ECG reveals ST depression in leads I and aVL. The vital signs are stable, and the patient has no allergies. What is the preferred agent for the treatment of this patient’s pain?
Nitroglycerin (Question 39).
The patient, status post anterior MI, is scheduled for emergent surgery for ventricular septal defect repair. What will the nurse most likely hear on auscultation of this patient’s chest?
Systolic murmur at the left sternal border (Question 32).
In the presence of blunt cardiac trauma, which finding supports the diagnosis of myocardial contusion?
Cardiac dysrhythmias (Question 24).
A patient had an episode of chest pain at rest with ST elevation on the ECG after the ingestion of cocaine. The chest pain was relieved, and the ST segments normalized after the administration of sublingual nitroglycerin. What did the patient most likely have?
Prinzmetal’s or variant angina (Question 27).
The patient admitted 2 days ago with an anterior MI develops hypotension, tachycardia, decreasing urine output, cool and clammy skin, a decreasing level of consciousness, and tachypnea. What should be included in the patient’s plan of care?
Positive inotropic agents, diuretics, vasodilators (Question 19).
A 66-year-old male presented with sudden-onset midsternal chest pain while sitting in a chair. The ECG demonstrated ST elevation of 2–3 mm in V2 through V4. The patient’s history includes cervical spine surgery two weeks ago. The hospital does not provide percutaneous coronary intervention (PCI). What is the treatment of choice?
Emergent transfer to the nearest facility that performs PCI (Question 26).
What are two signs & symptoms of a right ventricular (RV) infarct?
Hypotension with jugular venous distention (Question 8).
The patient presents with complaints of right leg and foot pain while at rest. The Ankle-Brachial Index is 0.75. Which is an appropriate intervention for this patient?
Place the bed in the reverse Trendelenburg position. (Question 37).
These clinical signs will be seen in what type of MI:
ST elevation in V1 to V4?
Anterior MI's (Question 8).
The patient is admitted with ripping pain between the scapulae with a dissecting aortic aneurysm seen on the CT scan. The patient’s BP is 156/90, the heart is in normal sinus rhythm, and the heart rate is 92 beats/minute. In addition to preparation for immediate surgery, which agent is most likely to improve the outcome for the patient?
Labetalol (Trandate) drip (Question 31).
Acute ventricular septal defect is found in what type of MI's?
Anterior MI's (Question 8).
Acute mitral valve regurgitation occurs in what type of MI?
Inferior MI (Question 8).
The patient with a known history of WPW syndrome presents with SVT, a regular rhythm, and a heart rate of 155 beats/minute. The patient is awake and alert with complaints of palpitations, but there is no dizziness or pain. The patient’s BP is 120/60, and the respiratory rate is 18 breaths/minute. Which of the following is the priority intervention for this patient?
Administer adenosine (Question 46).
The patient presents with acute ST elevation in V1–V4, blood pressure 84/62, atrial fibrillation 112 beats/minute, and respiratory rate 26 breaths/minute with crackles to the scapulae. Definitive treatment includes which of the following?
Coronary artery reperfusion (Question 35).
Which intravenous agent is the preferred treatment for a patient with hypertensive crisis and a history of coronary artery disease?
Labetalol (Trandate) (Question 45).