A 48-year-old male is sitting upright in bed in respiratory distress. He describes an acute onset of difficulty breathing and chest pain during the night that has been worsening for the past 3 hours. He also complains of nausea. Pain is described as a substernal pressure radiating to his left shoulder. Physical examination reveals cool, diaphoretic skin and rales on auscultation bilaterally. Medical history includes two prior myocardial infarctions. Medications include Zestril and metoprolol. HR = 132, BP = 140/100, RR = 25, SaO2? = 92%. Which of the following is NOT indicated?
a. Adenosine
b. Enalapril
c. Morphine
d. Nitroglycerin
Answers
The correct answer is b. Enalapril is not indicated as a first-line treatment for ACS in this patient. The patient needs urgent medical attention and should be transferred to a hospital with a cardiac catheterization laboratory.
The patient is presenting with symptoms of acute coronary syndrome (ACS) which is a life-threatening medical emergency that requires immediate intervention. The patient's history of two prior myocardial infarctions increases the likelihood of ACS. The physical examination reveals rales on auscultation bilaterally which suggests pulmonary congestion. The patient's cool and diaphoretic skin indicates poor tissue perfusion. The patient's vital signs including tachycardia, hypertension, and tachypnea also support the diagnosis of ACS. The patient should be treated with nitroglycerin, morphine, and aspirin. Adenosine is not indicated as it is used to treat supraventricular tachycardia which is not the primary concern in this patient. Enalapril can be used to manage hypertension, but it is not a first-line treatment for ACS.
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Related Questions
Ability to change direction quickly.
Agility
O Power
O Speed
O Balance
Answers
Answer:
Agility
Explanation:
What is the correct definition of a strain?
Answers
Answer:
B
Explanation:
What are the signs and symptoms of shock? What first aid should be administered to a person experiencing shock… (use your own words)
Answers
Answer:
cool, clammy skin
pale or ashen skin
bluish tinge to lips are fingernails
rapid pulse etc
First aid
You should reassure the patient, raise the patient's leg above the level of the heart with head flat on the floor, treat any wound or burn and immobilize fractures, loosen that tight clotting around neck chest and waist, maintain the patient's body warmth with a blanket or similar. do not use any source of direct heat, give small frequent amounts of water to the conscious patient who does not have abdominal trauma and who is unlikely to require an operation in the immediate future, monitor and record briefing holes and skin color at regular intervals, lastly place the patient in the recovery position if the person has difficult breathing, becomes unconscious and is likely to vomit.
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The american society for quality has a two part definition of quality. One perspective on quality is a product or service free from deficiencies; the product performs as intended. This is the ____________ perspective on quality.
Answers
Answer:
The American society for quality has a two part definition of quality. One perspective on quality is a product or service free from deficiencies; the product performs as intended. This is the Conformance perspective on quality.
What criteria would you use to evaluate health services
Answers
Answer:
Cost, quality, features, warranty, safety and recommendations.
a short-acting local anesthetic agent can last from
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A short-acting local anesthetic agent can last from a few minutes up to a couple of hours.
The duration of a local anaesthetic depends on the drug, concentration, mode of administration, and individual metabolism and response.
Long-acting local anaesthetics last longer than short-acting ones. They are used for short-term numbness or operations.
The duration of action can vary across individuals and be affected by factors like the site of administration, the area's vascularity, and the addition of vasoconstrictors to the local anaesthetic solution, which can prolong its impact. A doctor should explain a local anesthetic's duration of action.
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What electrolyte is present in the largest amount in sweat and should be replaced during heavy sweating?.
Answers
Answer:
Sodium and chloride
Explanation:
so i just took the difficult person test and honestly, should i be concerned? uh
Answers
Answer:
yes
Explanation:
A quarter-pound fast-food hamburger sandwich provides 400 calories and contains 20 grams of fat. What is the percentage of calories from fat?.
Answers
Answer:
45%
Explanation:
Quizlet
Jarod is a recent graduate of a nursing program. Although he has completed a degree, most of his work experience has been in the food service industry. What should he do?
Answers
Answer: Emphasize his education ...
Explanation: took the quiz
Which of the following types of memory is being used when you get the chills
walking past a building you know is always kept at a very cold temperature?
a) episodic
b) procedural
c) priming
d) classical conditioning
Answers
Answer:
Classical conditioning
how could you use probability to determine who is most likely to get sick?
Answers
Answer:
You can use probability because if the ratio is 1:5 meaning that out of 5 people one person is likely to get sick. So then you take that ratio and apply it to the population of an area.
Explanation:
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Ask: It can help by telling which person has a sickness
Explanation:
Basically looking at how many people have already gotten sick in that state and looking how they can put out vaccines
Which type of feedback reduces the change in physiological processes?.
Answers
Answer:
negative feedback
Explanation:
Negative Feedback. Most biological feedback systems are negative feedback systems. Negative feedback occurs when a system's output acts to reduce or dampen the processes that lead to the output of that system, resulting in less output. In general, negative feedback loops allow systems to self-stabilize.
What are the health risk of a high pollution advisory?
Answers
22. All information recorded on the PCR must be:A.typewritten or printed.B.considered confidential.C.a matter of public record.D.reflective of your opinion. 23. After delivering your patient to the hospital, you sit down to complete the PCR. Whendocumenting the patient’s last blood pressure reading, you inadvertently write 120/60instead of 130/70. To correct this mistake, you should: 23. After delivering your patient to the hospital, you sit down to complete the PCR. Whendocumenting the patient’s last blood pressure reading, you inadvertently write 120/60instead of 130/70. To correct this mistake, you should: 25. Which of the following statements regarding a patient refusal is MOST correct? refusal and determining that he has decision-making capacity, you ask him to sign anEMS refusal form, but he refuses to do that as well. You should:A.sign the refusal form, include the date and time, and have your partner witness it withhis or her signature.B.document the patient’s refusal, but leave the refusal form blank because only thepatient can legally sign it.C.advise the patient that unless he signs the refusal form, he cannot legally refuse EMStreatment or transport.D.ask a family member, law enforcement officer, or bystander to sign the form verifyingthat the patient refused to sign.Answer: DQuestion Type: Critical Thinking
Answers
All information recorded on the PCR must be considered confidential. Initial the mistake, cross out the incorrect date, and then draw one horizontal line through it.
What is PCR?PCR is defined as a process used in the lab to replicate a specific DNA segment in millions of copies. It was initially created in the 1980s. A given DNA segment can be quickly multiplied into millions or billions of copies using the polymerase chain reaction, allowing for more in-depth analysis.
Patients who can communicate their wishes and show awareness of the circumstance, understanding of the implications of their choice, and reasoning in their decision-making process have the capacity to make medical decisions. You should ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.
Thus, all information recorded on the PCR must be considered confidential. Initial the mistake, cross out the incorrect date, and then draw one horizontal line through it.
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Always trying to be better than those around, even actively trying to knock others down, is considered:
Answers
Answer:
that can be both bullying and being cocky or having a big ego and low regard for others
Explanation:
______ is the binding site of oxygen on red blood cells while _____ are the cells in the blood that help fight infection
Answers
Which of the following is NOT a good reason to eat fats, oils, and sugar in small quantities?
1. They contribute to obesity.
2. They taste good.
3. They contribute to heart disease.
4. They contribute to diabetes.
Please don't answer this unless you have a real answer!!!
Answers
Answer:
2
Explanation:
n the third step of the problem solving process in which one generates a range of solutions, one should __________. A. avoid ruling out or selecting a solution B. identify steps to implement the solution C. monitor the progress of a solution D. create a plan of action for the solution
Answers
In the third step of the problem solving process in which one generates a range of solutions, one should option A. avoid ruling out or selecting a solution
This step is often referred to as the "divergent thinking" phase, where the goal is to explore multiple possibilities without immediately dismissing any ideas. The purpose is to encourage creativity and open-mindedness, allowing for a broader exploration of potential solutions.
During this step, it is important to suspend judgment and refrain from prematurely selecting a solution. By doing so, individuals can foster a more expansive and inclusive approach to problem-solving. This mindset enables the consideration of various perspectives and encourages the generation of innovative solutions that may not have been initially apparent.
Once a range of potential solutions has been identified, the subsequent steps of the problem-solving process can be initiated. These may involve evaluating the feasibility and effectiveness of each solution, identifying steps to implement the chosen solution (option B), monitoring the progress of the solution (option C), and creating a plan of action for its execution (option D).
However, during the third step, the emphasis should be on generating a diverse set of solutions, fostering creativity, and allowing for the exploration of different possibilities without prematurely dismissing any options. This approach enhances the likelihood of finding the most optimal solution to the problem at hand. Therefore the correct option is A
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Benefits of weight-loss surgery include the potential to reverse
a. type 2 diabetes.
b. malabsorption syndrome.
c. dumping syndrome.
d. infections
Answers
Select the correct answer.
Specifying rewards for accomplished goals is one of the steps of creating an action plan.
O A. True
OB.
False
Answers
True, because you can then see the benefits of following through on your action plan.
What is a good illustration of an action plan?A city might, for instance, use an action plan to communicate goals for a neighborhood improvement project that include adding more green space, amenities, living streets, and better train service. a plan with sufficient specifics to accomplish a task or goal.
A project or goal's action plan is a detailed checklist of the tasks and materials required to finish it. Consider it as a visual countdown to the project's completion or a list of tasks necessary to produce the desired results.
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Come to the debate prepared. Read and research material relevant to the debate topic. You will need to cite at least three sources at the conclusion of the debate. During the debate, you should use your research to support your ideas, pose questions to your opponent, and respond to questions. In addition, be sure to clarify, verify, or challenge ideas and conclusions. At the conclusion of your debate: Cite at least three research sources you used to prepare for the debate. Summarize three points of agreement and three points of disagreement between you and your debate opponent. Explain your rationale for each point of contention. What do you think are the best ways school policy can influence healthful or unhealthful eating and physical activity levels? Describe two policy recommendations that could reasonably be put in place. Focus on recommendations that would impact the most people. Include one recommendation for nutrition and one recommendation for physical activity. (13 points)
Answers
Answer:
The best way to counteract an opposing viewpoint is to anticipate what an opponent might say. When researching the topic, then, don’t limit yourself to sympathetic sources; find sources that disagree with your argument. Take note of their rationale and use of evidence. That way, you will be familiar enough with these opposing viewpoints to argue against them. When you encounter dissenting opinions, try to figure out why smart and rational people would hold those positions. What evidence do they look at? How do they interpret that evidence? Why might they disagree with your point of view?
When we’re passionate about a topic, emotions can sometimes cloud our rationality. We tend to have disdain for opposing arguments and aren’t open to even hearing what those on the other side have to say. To move yourself out of this emotional realm and back into the realm of the well-reasoned argument, try taking a strategy from debate tournaments. Debaters prepare for tournaments by gathering information on both sides of a topic. They actually don’t know which side they’ll be arguing until the debate begins, and so they must be just as prepared to argue the side they don’t agree with as the one they believe in. As you’re researching, then, take the debater’s approach to gathering information so you’ll be very well-informed about the opposing views.
What is Exa's Identity
Sandstofcult to identify herself as either male or female. She is an
Answers
A __ assists athletes with their meal preparation before games and practices.
a. Sport Nutritionist
b. Sport Psychologist
c. Coach
d. Athletic Trainer
Answers
How do career pathways differ for immunologists and pharmacologists?
Immunologists must obtain licenses, while pharmacologists do not have to.
Immunologists are required to earn a bachelor’s degree before medical school, while pharmacologists are required to earn a medical degree before pharmacy school.
Immunologists will take the MCAT and go to medical school, while pharmacologists will take the PCAT and go to pharmacy school.
Pharmacologists must obtain a license, while immunologists do not have to.
Answers
Answer: Immunologists must obtain licenses, while pharmacologists do not have to. Immunologists are required to earn a bachelor's degree before medical school, while pharmacologists are required to earn a medical degree before pharmacy school.
Explanation:
What statement best explains the importance of emotional health?
Answers
Answer:
idk
Explanation:
Our consumer is the "persistent pain sufferer". Their pain might be managed (but perhaps with unwanted side effects) or they could be tirelessly searching for a way to live their life pain-free. Which of the following terms best describes the consumer's pain management needs?
a. Alternative medicine
b. Holistic approach
c. Traditional medicine
d. Pain relief medication
Answers
The term that best describes the consumer's pain management needs in this scenario is "Pain relief medication" (option d).
The statement suggests that the consumer is seeking relief from persistent pain and is considering options that may involve medications specifically targeted at alleviating pain symptoms. Pain relief medications can include over-the-counter analgesics (such as nonsteroidal anti-inflammatory drugs or acetaminophen) or prescription medications (such as opioids or other pain-relieving drugs). The focus here is on finding a solution to manage pain and reduce its impact on the individual's daily life.
While alternative medicine (option a) and holistic approaches (option b) can be considered by some individuals as part of their pain management journey, the statement does not explicitly mention these approaches. Alternative medicine refers to practices outside of conventional medical treatments, and a holistic approach emphasizes treating the person as a whole, considering physical, mental, and emotional aspects. These options may or may not be relevant to the consumer in this specific context.
Traditional medicine (option c) generally refers to conventional medical practices and treatments that are widely accepted and practiced within a specific culture or society. While pain relief medications can be part of traditional medicine, the statement does not focus on the traditional aspect of treatment but rather on the need for pain relief.
Therefore, based on the information provided, "Pain relief medication" (option d) is the term that best aligns with the consumer's pain management needs in this scenario.
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In the female reproductive system, the secrete(s) mucus that lubricates the vagina.
Answers
The answer is the Bartholin's glands
Which of the following statements about psychological contructs is true?
A. Psychological constructs are easy to define and measure.
B. Psychological constructs represent concepts that cannot be observed or measured directly.
C. Psychological constructs cannot be researched in psychology because they are unobservable.
D. Psychological constructs represent measurable overt behavior.
Answers
Answer:
B. Psychological constructs represent concepts that cannot be observed or measured directly.
Explanation:
Answer:
B) Psychological constructs represent concepts that cannot be observed or measured directly.
Explanation:
edge 2023
The nurse is caring for a client with a hip fracture. the physician orders the client to start taking a bisphosphonate. which medication would the nurse document as given?
Answers
The nurse is caring for a client with a hip fracture. Alendronate medication will be given by nurse.
What causes of hip fracture?Hip fracture is a serious, life threatening injury which rises with age.
Several causes like car crash, fall from a standing height, people with very weak bones, weakening of bones with age due to osteoporosis.
Multiple medications, imbalance problems make older people more likely to have hip fracture.
The risk factors include Osteoporosis, overactive thyroid which lead to fragile bone.
Intestinal disorder reduce absorption of vitamin D and calcium which weaken bones.
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