Test - What's at the Heart of Your Patient's Chest Pain?

A must read article for the final. Answers are posted in the comments, print from there.

1.
When assessing a patient who has chest pain, a nurse should measure the
a. body weight.
b. oxygen saturation.
c. serum electrolytes.

2.
An elevated blood pressure
a. increases the risk of shock.
b. increases the workload of the heart.
c. decreases myocardial oxygen requirements.

3.
Which question should you ask when performing a brief neurologic assessment?
a. "Where are we?"
b. "What is today's date?"
c. "What did you eat for breakfast?"

4.
Which of these lung assessments is indicative of pulmonary edema?
a. harsh crackles on the left side
b. crackles throughout the lung fields
c. fine crackles at the bases

5.
Which lab tests should be performed for a patient who reports new onset of chest pain?
a. thyroid function tests
b. liver enzymes
c. CK with MB, troponin levels, and myoglobin

6.
Which treatment is recommended for a patient with a blockage of two coronary arteries?
a. angioplasty with stent placement
b. pacemaker insertion
c. heart transplant

7.
Nitroglycerin therapy is contraindicated for which of these patients?
a. a patient who has a left ventricular MI
b. a patient who has a systolic blood pressure of 190 mm Hg
c. a patient who has a heart rate of 44 beats/minute

8.
Which of these medications will delay the progression of heart failure in a patient who has ACS?
a. enalapril
b. heparin
c. abciximab

9.
Which of these procedures is contraindicated for a patient who's receiving treatment for ACS?
a. venipuncture
b. intramuscular injections
c. oxygen therapy

10.
Which of these assessments should a nurse make for a patient who is receiving treatment for ACS?
a. ability to void
b. presence of bleeding
c. ability to ambulate

11.
Which of these questions should a nurse include when assessing a patient who reports chest pain?
a. "What were you doing when the pain began?"
b. "Why are you having this pain?"
c. "When did you last eat?"

12.
Beta-blocking agents are recommended for the treatment of ACS because they will
a. reduce myocardial oxygen consumption.
b. reduce clot formation.
c. reduce platelet aggregation.

13.
Which of these diagnostic tests will help distinguish chest pain related to pneumonia?
a. hemoglobin levels
b. partial thromboplastin time
c. complete blood cell count

14.
Which of these descriptions of chest pain is suggestive of pericarditis?
a. crushing, continuous chest pain
b. pain that increases on inspiration
c. pain that radiates down the back

15.
Which of these measures should a nurse include when administering oxygen to a patient who has ACS?
a. keeping the head of the bed flat to promote absorption
b. using a nebulizer to facilitate delivery of oxygen
c. administering oxygen at 4 liters/minute to decrease hypoxia