Core Measures - AMI Question Preview (ID: 10356)
Review And Re-enforcement Of The Nurse's Role In Meeting Core Measure Guidelines For His/her Patients.
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When should an AMI patient receive aspirin?
a) Within 24 hours prior to arrival and at discharge
b) Within 24 hours after arrival and at discharge
c) Within 24 hours prior to or after arrival and at discharge
d) Never - Aspirin is OTC and has no impact on the patient's outcome
Which of the following indicates a patient should be discharged on an ACE Inhibitor or an ARB (Angiotensin Receptor Blocker)?
a) Ejection Fraction less than 40%
b) Moderate or severe LVSD (left ventricular systolic dysfunction)
c) EF greater than 40% and/or moderate/severe LVSD (left ventricular systolic dysfunction)
d) EF less than 40% and/or moderate/severe LVSD (left ventricular systolic dysfunction)
In addition to an aspirin & ACE Inhibitor or ARB (Angiotensin Receptor Blocker) (if indicated), what other medication(s) should be prescribed at discharge?
a) Beta blocker, anti-coagulant & statin
b) Beta blocker & statin
c) Beta blocker
d) Statin
Fibrinolytic therapy should be administered within how many minutes after the patient's arrival to hospital?
a) 30
b) 60
c) 90
d) 120
PCI (Percutaneous Coronary Interventions) such as PTCA and Stents should be performed within how many minutes after the patient's arrival to hospital?
a) 30
b) 60
c) 90
d) 120
Which disciplines may provide contraindications to Core Measure medications?
a) Physician only
b) Nurse or physician
c) Pharmacist, nurse practitioner or physician
d) Nurse, pharmacist, nurse practitioner or physician
Contraindications for an ACE Inhibitor and ARB (Angiotensin Receptor Blocker) must address which of the following?
a) ACE Inhibitor only
b) ARB (Angiotensin Receptor Blocker) only
c) Either ACE Inhibitor or ARB (Angiotensin Receptor Blocker)
d) Both ACE Inhibitor and ARB (Angiotensin Receptor Blocker)
A contraindication for a medication that is recorded by the nurse should be recorded in which location?
a) Nurse's notes
b) Progress notes
c) Physician orders
d) Any of these choices
Which of the following approaches would be best when asking a physician about starting a Core Measure medication?
a) Core Measures requires that Mr. X be placed on aspirin.
b) Ruth said Mr. X needs to be on aspirin.
c) Would Mr. X be a candidate for aspirin therapy?
d) If you don't order aspirin for Mr. X, he will fail Core Measures & I'll receive a counseling point.
The Hard Stop for AMI should be completed by how many nurses?
a) 1 - Hard Stops are Mandatory
b) 2 - Hard Stops are Mandatory
c) 3 - Hard Stops are Mandatory
d) 0 - Hard Stops are Optional
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