Acute MI Question Preview (ID: 55527)
MI Questions.
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a) q
b) w
c) e
d) e
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b) fr
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Your patient is being discharge with a diagnosis of NSTEMI with EF of 45%- You expect discharge instructions to include
a) What to do if pt has any s/s of cardiac event, RX for ASA, Beta Blocker, High
b)
c) Rx for ASA, Beta Blocker, Cardiac Rehab Referral done prior to discharge, patient copy of ECG
d) RX for Plavix, Asa 81mg, Beta Blocker, High Intensity Statin, Cardiac Rehab Referral, Appt in 5 days, and My chart teaching
What is a Clinical Practice Guideline
a) Mandatory requirements by the American Heart Association
b) Regulatory requirements by the Joint Commission
c) A medical guideline based on evidence-based practice that helps guide decisions and management of patient care
d) A collection of guidelines that must be followed by Healthcare providers
Your patient is being discharged with new onset Heart Failure and an EF of 39%, you expect discharge to include
a) Rx for Beta Blocker, Aldosterone Antagonist, Ace Inhibitor, Asa, Cardiac Rehab
b) RX for Beta Blocker, Ace Inhibitor, Cardiac Rehab referral prior to dc, a follow up appt. in 1 week, Smoking Cessation
c) Rx for Lasix, Aldosterone Antagonist, Cardiac Rehab Referral, Smoking Cessation, Diet Education
d) Rx for Beta Blocker, Lasix, Cardiac Rehab referral, Aldosterone Antagonist, Smoking Cessation
Your patient has been brought in by EMS and is intubated, the patient has a diagnosis of STEMI what medication must be given as soon as possible and is considered a fall-out if not given within 24 hours of arrival
a) integrilin, the patient is intubated and need antiplatelet medication
b) ASA 324-325mg via rectal or NG tube route
c) Lovenox SubQ
d) Nitroglycerin drip
Your patient is having signs and symptoms of an acute cardiac event, you asked someone to page the doctor and you?
a) put the patient with an o2 sat of 94% on 2L NC
b) ask the charge nurse to ask the doctor for Nitro order
c) stay with the patient and wait for the doctor to call and give orders
d) Call for a stat EKG and put in an order under the EKG Nurse standing order and follow the directions
The patient has Cardiac Rehab ordered and the patient must have Rehab referral done by?
a) The cardiac rehab referral team
b) prior to being discharged from the hospital from any discipline
c) case management
d) the physician's office at the follow up appointment
Patient must have a follow up appointment made prior to discharge for STEMI, NSTEMI (Acute MI) in how many days
a) pt must see there primary care doctor in 3 Days
b) pt must have an appt made with the Cardiologist Clinic or primary doctor in 7 days or less prior to discharge
c) pt must have follow up appt made prior to discharge to see primary care doctor the next day, if weekend then on Monday
d) pt must have a follow up appt prior to discharge with the MD of their choice in 5 days or less
What is NSTEMI
a) Acute MI without ST elevation on EKG
b) STEMI without blockage
c) ACS with no elevated Troponin
d) Any elevation in Troponin with no ST elevation
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