Questions (Cardiovascular system)
Angina 13 questions
Atrial dysrhythmias 2 questions Cardiac
pacemakers 3 questions
Cardioversion 1 question
... [Show More]
Defibrillation 1 question
Electrocardiogram interpretation 5 questions
Heart failure 7 questions
Myocardial infarction 26 questions
Ventricular dysrhythmias 9 questions
1. The emergency department nurse cares for the client experiencing a myocardial infarction with no dysrhythmias. Which orders
will the nurse anticipate carrying out? Select all that apply. (Myocardial infarction)
1. Administer oxygen
2. Establish an intravenous line
3. Monitor the ECG
4. Administer lidocaine
5. Administer aspirin
6. Insert a Foley catheter
1. Administer oxygen. Oxygen is administered to prevent dysrhythmias, further ischemia, and decrease dyspnea and shortness
of breath. Myocardial infarction (MI) is the formation of localized necrotic areas within the myocardium, usually following the
sudden occlusion of a coronary artery and the abrupt decrease of blood and oxygen to the heart muscle; signs and symptoms
include severe crushing chest pain that may radiate to arms, jaw, neck, and back, dyspnea, nausea, vomiting, gastric
discomfort, indigestion, apprehension, restlessness, and fear of death; nursing care includes providing thrombolytic therapy,
relieving family's anxiety, bed rest, monitoring vital signs and intake and output; client instruction about modification of
lifestyle includes stop smoking, reduce stress, and regular physical activity.
2. Establish an intravenous line. An intravenous line is necessary for medication administration. The client experiencing a
myocardial infarction would not receive medications by the intramuscular route.
3. Monitor the ECG. The client would be placed on a monitor to assess for potential dysrhythmias.
4. Administer lidocaine. Lidocaine is only used for ventricular dysrhythmias.
5. Administer aspirin (ASA). Aspirin is administered to inhibit platelet aggregation.
6. Insert a Foley catheter. There is no need to insert a Foley catheter. This would create a risk for urinary tract infection. [Show Less]