Nursing Assessment and Nursing Diagnosis Quiz
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Questions and Answers

Which of the following is the most important nursing priority for a patient who has experienced a myocardial infarction?

  • Reducing myocardial workload
  • Preventing and detecting life-threatening dysrhythmias or complications (correct)
  • Relieving pain and anxiety
  • Promoting cardiac health and self-care
  • A patient who has experienced a myocardial infarction is exhibiting decreased urinary output. Which of the following nursing diagnoses is most appropriate for this patient?

  • Deficient knowledge related to post-MI self-care
  • Impaired renal function related to decreased blood flow (correct)
  • Ineffective cardiac tissue perfusion related to reduced coronary blood flow
  • Risk for ineffective peripheral tissue perfusion related to decreased cardiac output from left ventricular dysfunction
  • Which of the following nursing interventions is most appropriate for a patient who has experienced a myocardial infarction and is experiencing shortness of breath and dyspnea?

  • Encouraging bed rest with the back rest elevated to help decrease chest discomfort and dyspnea
  • Assessing IV sites frequently
  • Promoting cardiac health and self-care
  • Administering oxygen and medication therapy to assist with relief of symptoms (correct)
  • A patient who has experienced a myocardial infarction is exhibiting decreased knowledge about post-MI self-care. Which of the following nursing interventions is most appropriate for this patient?

    <p>Providing education and resources to the patient about post-MI self-care</p> Signup and view all the answers

    A patient who has experienced a myocardial infarction is exhibiting decreased cardiac output and left ventricular dysfunction. Which of the following nursing diagnoses is most appropriate for this patient?

    <p>Risk for ineffective peripheral tissue perfusion related to decreased cardiac output from left ventricular dysfunction</p> Signup and view all the answers

    A patient who has experienced a myocardial infarction is exhibiting decreased urinary output and signs of ineffective peripheral tissue perfusion. Which of the following nursing interventions is most appropriate for this patient?

    <p>Assessing IV sites frequently to ensure adequate fluid resuscitation and perfusion</p> Signup and view all the answers

    What should a nurse frequently check to monitor tissue perfusion?

    <p>Peripheral pulses and skin temperature</p> Signup and view all the answers

    Which intervention is essential post-myocardial infarction?

    <p>Morphine, Oxygen, Nitroglycerin, Aspirin (MONA)</p> Signup and view all the answers

    How do ACE Inhibitors work in the context of myocardial infarction?

    <p>Decrease oxygen demand of the heart</p> Signup and view all the answers

    What lifestyle change is recommended to lower blood pressure in patients with hypertension?

    <p>Smoking cessation</p> Signup and view all the answers

    Which action is crucial to prevent fluid pooling in the bases of the lungs?

    <p>Frequent changes in position</p> Signup and view all the answers

    What is a key self-care instruction for individuals post-myocardial infarction?

    <p>Losing weight if overweight</p> Signup and view all the answers

    What is the initial dose for nitroglycerin administration in the treatment of myocardial infarction?

    <p>0.4 mg sublingual tab</p> Signup and view all the answers

    Why is aspirin given in the management of myocardial infarction?

    <p>To decrease mortality risk</p> Signup and view all the answers

    What is a key nursing consideration when administering nitroglycerin to a patient experiencing chest pain?

    <p>Holding for a systolic BP below 90 mmHg</p> Signup and view all the answers

    What is the purpose of Emergent Percutaneous Coronary Intervention in the management of myocardial infarction?

    <p>To open occluded coronary arteries and promote reperfusion</p> Signup and view all the answers

    How many times can a patient receive nitroglycerin sublingual tabs if chest pain is not relieved?

    <p>Three times</p> Signup and view all the answers

    In post-myocardial infarction self-care, what is the significance of monitoring peripheral tissue perfusion?

    <p>To ensure adequate blood flow to extremities</p> Signup and view all the answers

    Study Notes

    • Monitor vital signs, including blood pressure and pulse rate, for patients with cardiac issues.
    • Assess for symptoms like shortness of breath, dyspnea, tachypnea, and crackles, as well as nausea, vomiting, and decreased urinary output.
    • Conduct a thorough physical assessment to detect complications and changes in the patient's condition.
    • Nursing priorities include relieving pain and anxiety, reducing myocardial workload, and promoting cardiac health and self-care.
    • Nursing interventions involve administering oxygen and medications, encouraging bed rest with elevation, monitoring tissue perfusion, providing information and support, and closely monitoring patient vital signs and symptoms.
    • Health instructions for patients include maintaining a healthy weight, being physically active, and avoiding alcohol and smoking.
    • Treatment options for cardiac issues include ACE Inhibitors, Thrombolytics, and MONA (Morphine, Oxygen, Nitroglycerin, Aspirin) therapy.
    • Surgical therapies like Balloon angioplasty and Coronary bypass surgery may be recommended.
    • Emergent Percutaneous Coronary Intervention is used to open occluded coronary arteries and promote reperfusion.

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    Description

    Test your knowledge on assessing vital signs, symptoms, history, and complications in patients to form accurate nursing diagnoses. Questions may cover monitoring techniques, assessment methods, and potential complications.

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