Page 31 - American Nurse Today January 2008

POST-TEST • Attacking anterior-wall myocardial infarction in time
Earn contact hour credit online at www.AmericanNurseToday.com/ce (ANT080101)
Please circle the correct answer.
1. Which is a common sign or symptom of anterior- wall MI in women?
a. Warm, ruddy skin
b. Substernal chest pain
c. Unusual fatigue
d. Abdominal pain
2. MI pain can occur any time of day, but when does it most often occur?
a. Within3hoursofawakening b. Within8hoursofawakening c. Threehoursbeforebedtime d. Eighthoursbeforebedtime
3. Which electrocardiogram (ECG) finding in the in- dicative leads indicates myocardial ischemia?
a. ST-segmentdepression b. ST-segmentelevation c. TallTwaves
d. InvertedTwaves
4. Which is an ECG sign of anterior-wall MI?
a. QwavesinleadsV1throughV4
b. TallRwavesinleadsIandII
c. ST-segmentelevationinleadsIandaVL d. T-waveinversioninleadsV7throughV9
5. Changes to which ECG component don’t go
away after an MI?
a. R wave
b. Q wave
c. T wave
d. V wave
6. Which is the preferred serum cardiac biomarker fordiagnosingMI?
a. Creatinekinase(CK) b. CK-MB
c. TroponinX
d. TroponinT
Evaluation form (required)
7. Which statement about the level of the preferred serum cardiac biomarker is correct?
a. It rises 1 hour after MI.
b. It remains elevated for up to 7 days.
c. It rises 8 to 10 hours after MI.
d. It remains elevated for up to 21 days.
CE
1.5 contact hours
8.
treatment of MI?
12. Which arrhythmia may anterior-wall MI produce?
a. Fourth-degreeatrioventricular(AV)block b. Third-degreeAVblock
c. Second-degreesinoatrial(SA)block
d. Third-degreeSAblock
13. You should individualize a patient’s activity plan, but in general, patients who are hemodynamically stable shouldn’t be confined to bed for more than how many hours?
a. 8 b. 12 c. 24 d. 48
14. Which statement about patient teaching after an anterior-wall MI is correct?
a. Patients and family members should be told to call 911 if the patient’s pain persists longer than 30 minutes.
b. Patients should be taught to take a sublingual ni- troglycerin dose for chest pain and to wait 10 minutes before taking another.
c. Family members should be advised to take car- diopulmonary resuscitation (CPR) training.
d. Family members should be told that if chest pain occurs, they should drive the patient to the hos- pital to ensure prompt care.
15. Which statement about patient activity after an anterior-wall MI is correct?
a. The patient should engage in moderate-intensity aerobic activity for 30 to 60 minutes on most— preferably all—days of the week.
b. The patient should engage in moderate-intensity aerobic activity for 120 minutes five times a week. c. Thepatientshouldengageinaerobicactivityfor
15 to 20 minutes six times a week.
d. Thepatientshouldengageinaerobicactivityfor
90 minutes twice a week.
3. The author(s) competence and effectiveness. ____
4. The activity met your personal expectations. ____
5. The application to and usefulness of the content in your nursing practice. ____ 6. Freedom from bias due to conflict of interest, commercial support, product endorsement or unannounced off-label use. ____
7. State the number of minutes it took you to read the article and complete the post-test and evaluation. ____
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Which is the correct sequence for immediate
a. Morphine,oxygen,aspirin,andnitroglycerin b. Aspirin,oxygen,nitroglycerin,andmorphine c. Morphine,oxygen,nitroglycerin,andaspirin d. Oxygen,morphine,aspirin,andnitroglycerin
9.
ter an anterior-wall MI is correct?
Which statement about beta-blocker therapy af-
a. It decreases mortality after MI by 10%.
b. It decreases mortality after MI by 50%.
c. It should be started within 24 hours of the onset
of symptoms.
d. It should be started within 48 hours of the onset
of symptoms.
10. Which drug class is used to help reduce afterload by reducing the work of the heart and decreasing ventricular remodeling that occurs with MI?
a. Angiotensin-convertingenzyme(ACE)inhibitors b. Betablockers
c. Fibrinolytics
d. Nitroglycerin
11.
and the American Heart Association, percutaneous coronary intervention (PCI) should be performed, if indicated, within how many minutes of the patient’s first medical contact?
According to the American College of Cardiology
a. 90 b. 110 c. 140 d. 150
1. In each blank, rate your achievement of each objective from 1 (low/poor) to 5 (high/excellent).
(1.) Describe the signs and symptoms of anterior-wall myocardial MI. ____ (2.) Recall the diagnostic techniques used to detect anterior-wall MI. ____ (3.) Describe the medical management of anterior-wall MI. ____
(4.) Discuss the nursing management of anterior-wall MI. ____
Also rate the following from 1 to 5.
2. The relatedness and effectiveness of the purpose, objectives, content, and teaching strategies. ____
PLEASEPRINTCLEARLY
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Method of payment (ANA members $20; nonmembers $25)
■ CheckpayabletoAmericanNursesAssociation.
■ Visa ■ MasterCard PLEASE DO NOT SEND CASH
Amount authorized $____________________________________
Mail completed evaluation, post-test, registration form, and payment to: ANA, PO Box 504410, St. Louis, MO 63150-4410
Please allow 4 to 6 weeks for CE processing.
January 2008 American Nurse Today 31