(1)A 65years old female is admitted to the hospital with a diagnosis of Myocardial infarction. Morphine sulfate is ordered by the doctor for pain relief. In addition to providing pain relief the nurse knows that Morphine sulfate will provide what effect?.

(A) Increase blood return to the right side of the heart.

(B) It will relax and put patient to sleep.

(C )Morphine sulfate is often the drug of choice.

(D )Decrease blood return to the right side of the heart, decrease peripheral resistance. Decrease preload and afterload pressure. Morphine sulfate is the drug of choice because it decreases preload and after load pressure, and provides relief for anxiety. Dilaudid is used if patient is allergic to morphine or sensitive to respiratory depression.

Correct answer D.

(2 )The nurse plans care for a patient diagnosed with an acute myocardial infarction. An appropriate nursing diagnosis would be. A potential for alteration in cardiac output secondary to what?.

(A) Decrease in blood flow.

(B )The heart is compromised. That is the heart is not good.

(C )Serious cardiac arrest and demands.

(D) Ventricular dysrhythmia. Transportation of the great vessels has reduce the efficiency of blood flow to the heart,which is common after myocardial infarction.

Correct answer D.

Rationale: Myocardial infarction is simply a heart attack. The blockage of blood flow to the heart.

Nurses Alert: “Myocardial infarction is a medical emergency”.

(3) A 50years old man is admitted to the hospital for evaluation of cardiac disease. He is scheduled to have Cardiac Catheterization. Three hours before the procedure. He said to the nurse.” I don’t want this procedure to be done to me”.Which of the following responses by the nurse will be the best?.

(A) Offer to discuss with him, his concern with the procedure.

(B) If you don’t want the procedure that is fine.

(C )I will notify the doctor.

(D) Have you thought about it very well?.

Correct answer A.

Rationale: Offering to discuss with patient will give him reassurance that you care.

(4) A patient is brought into the emergency room with complain of chest tightness and nausea. Electrocardiogram is done.The doctor diagnosed her with Myocardial infarction. The patient keep on asking for bedpan every five minutes without voiding. She claimed that nobody has given her a bedpan.The nurse replies, you just used the bedpan five minutes ago. The daughter asked and what is the purpose of the machine?. The nurse should know that patient response is due to what?.

(A) Patient is demonstrating signs of anxiety and fear of death.

(B )She is not nice.

(C )She is showing signs of Alzheimer disease.

(D) Memory loss is a significant sign of Myocardial infarction.

Correct answer A.

Rationale:When patient is diagnosed with myocardial infarction. Patient and family will experience anxiety and fear of patient dying.Because fear and anxiety have taken over they are not listening or absorbing explanations very well.

ACUTE MYOCARDIAL INFARCTION PROTOCOL ( Please follow up with your hospital policy and procedures)

Aspirin is given to patient upon arrival to emergency room.

Treatment given to patient to stabilize the patient.What is the ejection fraction?.

Within 30minutes of arrival ,Thrombolytic medication is given. Or it’s given within 90minutes of arrival.

Aspirin is prescribed by the doctor upon discharge.

Also Beta blocker prescribed at discharge.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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