Emergency Nursing: Myocardial Infarction
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Questions and Answers

What typically causes a heart attack?

  • High cholesterol levels
  • Muscle strain from exercise
  • Sudden emotional change
  • Blocked blood flow due to a clot (correct)
  • Which type of heart attack involves a complete blockage of a coronary artery?

  • Coronary artery disease
  • Chronic heart failure
  • STEMI (correct)
  • NSTEMI
  • Which symptom is most commonly associated with a heart attack?

  • Chest pain (correct)
  • Nausea
  • Dizziness
  • Fatigue
  • What should you do if you suspect you are having a heart attack?

    <p>Call 911 or local emergency number</p> Signup and view all the answers

    What is a possible contributor to the blockage that leads to a heart attack?

    <p>Plaque build-up in arteries</p> Signup and view all the answers

    What may heart attack symptoms include aside from chest pain?

    <p>Pain extending to jaw or back</p> Signup and view all the answers

    Which of the following descriptions is NOT associated with the pain of a heart attack?

    <p>Pain lasting less than 5 minutes</p> Signup and view all the answers

    During initial treatment in the emergency room for a heart attack, what will most likely occur?

    <p>Patient will be hooked up to a heart monitor</p> Signup and view all the answers

    Which of the following is NOT considered a major risk factor for stroke?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    What symptom is typically associated with a stroke caused by bleeding in the brain?

    <p>Severe headache that starts suddenly</p> Signup and view all the answers

    Which lifestyle choice significantly increases the risk of stroke?

    <p>Heavy drinking</p> Signup and view all the answers

    What should be done immediately if stroke symptoms are observed?

    <p>Call 911 or seek urgent medical care</p> Signup and view all the answers

    Which of the following changes may occur as a symptom after a stroke?

    <p>Clumsiness</p> Signup and view all the answers

    Who is at the highest risk of stroke when using birth control pills?

    <p>Women who smoke and are older than 35</p> Signup and view all the answers

    What is considered the optimal time frame to administer clot-busting drugs after stroke symptoms begin?

    <p>Within 3 hours</p> Signup and view all the answers

    What is a key distinction of emergency nursing compared to other nursing specialties?

    <p>Emergency nurses focus on patients when a diagnosis has not been made.</p> Signup and view all the answers

    Which of the following describes an emergency situation?

    <p>A situation posing immediate risk to health or life.</p> Signup and view all the answers

    What demographic is at increased risk for stroke related to their race?

    <p>Black individuals</p> Signup and view all the answers

    In which phase of disaster management does a nurse primarily provide care for victims?

    <p>Response Phase</p> Signup and view all the answers

    What does the triage system in emergency care aim to achieve?

    <p>Prioritize patients based on the severity of their conditions.</p> Signup and view all the answers

    Which nursing diagnosis is most critical when caring for a patient in an emergency situation?

    <p>Ineffective airway clearance.</p> Signup and view all the answers

    Biological warfare can be defined as what type of threat?

    <p>The use of biological agents to harm or intimidate populations.</p> Signup and view all the answers

    Among the following, which is NOT a functional requirement of an emergency department?

    <p>Providing long-term rehabilitation.</p> Signup and view all the answers

    How does the reaction to disasters differ between children and the elderly?

    <p>Elderly individuals may display delayed emotional responses compared to children.</p> Signup and view all the answers

    What characterizes stable angina?

    <p>Pain that goes away after a few minutes of rest or medication</p> Signup and view all the answers

    What is a key indication of unstable angina?

    <p>Pain can occur with or without physical exertion</p> Signup and view all the answers

    Which type of angina is specifically linked to a coronary artery spasm?

    <p>Variant (Prinzmetal's) angina</p> Signup and view all the answers

    Which of the following risk factors is specifically related to age in men and women for cardiovascular disease?

    <p>Age (≥ 55 years for men, ≥ 65 for women)</p> Signup and view all the answers

    Which characteristic distinguishes microvascular angina from other types?

    <p>It cannot be relieved by medication</p> Signup and view all the answers

    What is the primary goal of treatment after a stroke?

    <p>To recover as much function as possible</p> Signup and view all the answers

    What is a potential long-term complication following a stroke?

    <p>Dementia</p> Signup and view all the answers

    Which factor does NOT influence the outlook after a stroke?

    <p>The patient's age</p> Signup and view all the answers

    What characterizes stable angina compared to other types?

    <p>It has a regular pattern and occurs during increased heart activity</p> Signup and view all the answers

    What is the most common type of heart disease associated with angina?

    <p>Coronary heart disease (CHD)</p> Signup and view all the answers

    Which of these is not a common sign of a stroke?

    <p>Pressure or squeezing in the chest</p> Signup and view all the answers

    What condition commonly necessitates immediate medical attention similar to a stroke?

    <p>Heart attack</p> Signup and view all the answers

    Which type of angina occurs due to the heart working harder than usual?

    <p>Stable angina</p> Signup and view all the answers

    Study Notes

    Emergency Nursing

    • Emergency nurses care for patients in the critical phase of their illness or injury.
    • Emergency Management refers to the care of patients with urgent and critical needs.
    • Emergency departments are often the first place where people seek help.
    • An emergency is a situation that poses an immediate risk to health, life, property, or the environment.
    • Emergency care focuses on interventions and treatment to quickly address the situation.

    Myocardial Infarction (Heart Attack)

    • A heart attack occurs when blood flow to a part of the heart is blocked, damaging or killing heart muscle.
    • Most heart attacks are caused by a blood clot blocking a coronary artery.
    • A complete blockage is a STEMI (ST-elevation myocardial infarction), while a partial blockage is an NSTEMI (non-ST-elevation myocardial infarction).
    • Plaque buildup in coronary arteries can lead to heart attacks.
    • Heart attacks can occur during rest, sleep, physical activity, cold weather, or after emotional/physical stress.

    Symptoms of a Heart Attack

    • Chest pain is the most common symptom, often lasting longer than 20 minutes.
    • Pain can feel like a tight band, indigestion, heaviness, squeezing, or pressure.
    • Pain may radiate from the chest to the arms, shoulder, neck, teeth, jaw, belly area, or back.
    • Pain may not be completely relieved by rest or nitroglycerin.

    Stroke

    • A stroke occurs when blood flow to the brain is interrupted, damaging brain cells.
    • The risk of stroke is higher in people with atrial fibrillation, diabetes, family history of stroke, high cholesterol, increasing age, and certain races (like Black people).
    • Unhealthy lifestyle factors like being overweight, drinking heavily, high-fat diets, smoking, and drug use increase stroke risk.
    • Symptoms include headache, confusion, memory loss, difficulty swallowing, dizziness, loss of balance, muscle weakness, numbness, vision problems, and speech difficulties.

    Angina

    • Angina is chest pain or discomfort caused by reduced oxygen-rich blood flow to the heart muscle.
    • Pain may feel like pressure or squeezing in the chest, and it may radiate to the shoulders, arms, neck, jaw, or back.
    • Angina is a symptom of underlying heart problems, often coronary heart disease (CHD).
    • CHD is caused by plaque buildup in coronary arteries.
    • Angina can also be a symptom of coronary microvascular disease (MVD), affecting the heart's smallest arteries.

    Types of Angina

    • Stable Angina: Most common, occurs during exertion, with a predictable pattern, relieved by rest or medication.
    • Unstable Angina: Doesn't follow a pattern, may be more severe, can occur without exertion, and may not be relieved by rest/medication.
    • Variant (Prinzmetal's) Angina: Rare, caused by coronary artery spasms, usually at rest, severe pain, often happening at night.
    • Microvascular Angina: Can be more severe and last longer than other types, medication may not provide relief.

    Risk Factors for Angina

    • Age (≥ 55 years for men, ≥ 65 for women)
    • Cigarette smoking
    • Diabetes mellitus
    • Dyslipidemia
    • Family history of premature cardiovascular disease

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    Description

    This quiz covers essential information on emergency nursing, focusing on the care of patients experiencing myocardial infarction or heart attacks. Learn about the causes, types, and urgency of treatment required in these critical situations. Test your knowledge on emergency management and heart health.

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