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What is the patient goal of the walking exercise program designed for the rehabilitation of a patient who had a myocardial infarction (MI) 3 weeks ago?
- A. Walk 2 miles in less than 60 minutes after 12 weeks.
- B. Jog mile in less than 30 minutes after 12 weeks.
- C. Fast walk' 1 mile in less than 20 minutes after 12 weeks.
- D. Walk 1 mile in 15 minutes without dyspnea after 12 weeks.
Correct Answer: A
Rationale: The goal of the 12-week walking program is that the patient can walk 2 miles in less than 60 minutes.
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A 70 year female patient arrives to the emergency department, reporting nausea, vomiting, fatigue and abdominal discomfort. The health care provider requests myocardial infarction (MI) protocols to begin. For which reason is this protocol beginning?
- A. The provider is concerned a lawsuit could occur due to missed diagnosis.
- B. Women tend to have less classic symptoms of a myocardial infarction.
- C. Women are more likely to die from breast or cervical cancer than an MI.
- D. The troponin I level is not as accurate for females as it is in male patients.
Correct Answer: B
Rationale: Women experiencing an MI tend to experience symptoms that are unrelated to chest pain: nausea, vomiting, fatigue, indigestion, shortness of breath, and upper back or abdominal discomfort.
The life support system that uses special techniques, ventilation equipment, and therapies for emergency situations is
Correct Answer: advanced cardiac life support (ACLS)
Rationale: ACLS is a life support system that uses special techniques, ventilation equipment, and therapies for emergency situations.
The nurse reminds the patient who is taking warfarin for the treatment of peripheral artery disease not to eat excessive green and yellow vegetables for which reason?
- A. Potassium in the vegetables can cause additional bleeding
- B. Green and yellow vegetables cause loose bowel movements
- C. Vitamin $\mathrm{K}$ in the vegetables counteracts the anticoagulant effect
- D. Potassium in the vegetables can cause hyperkalemia to develop
Correct Answer: C
Rationale: The patient taking warfarin should not eat excessive amounts of vitamin $\mathrm{K}$ containing foods, such as green and yellow vegetables. Vitamin $\mathrm{K}$ counteracts the anticoagulant effect, and blood clots could develop.
What is the major cause of cardiac valve disease in past years?
- A. Rheumatic fever
- B. Long history of malnutrition
- C. Drug abuse
- D. Obesity
Correct Answer: A
Rationale: Rheumatic fever, a streptococcal infection, was the major cause of cardiac valve disease in past years.
The cardiac marker rises 3 hours after a myocardial infarct and measures myocardial contractile protein.
Correct Answer: troponin I
Rationale: Troponin I is a serum cardiac marker that rises 3 hours after an MI and can measure myocardial contractile tissue. Troponin I is not affected by skeletal muscle injury as is troponin T.