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LORMA COLLEGES
San Fernando City, La Union
COLLEGE OF NURSING
NCM 106 - School Year 2014 2015
ACUTE MYCARDIAL INFARCTION

Application Exercises:
1. What assessments can a nurse perform to distinguish angina from Myocardial
Infarction (MI)?
2. What is the rationale for each of the following interventions?
Intervention
Rationale
Oxygen
Beta-blocker
ACE inhibitor
Stool softener
Nitroglycerin
Morphine
Thrombolytic
agent
3. When are the following cardiac enzymes first detectable?
Cardiac
First Detectable
Enzyme
CK - MB
Troponin I and
T
Myoglobin
4. A client with a diagnosis of MI reports that dyspnea began 2 weeks ago.
Which of the following cardiac enzymes should the nurse assess to determine
if the infarction occurred 14 days ago?
A. CK MB
B. Troponin 1
C. Troponin T
D. Myoglobin
5. A client asks why one aspirin per day has been prescribed. Which of the
following is the nurses best response?
A.Aspirin reduces the formation of blood clots that could cause a heart
attack.
B. Aspirin will decrease any pain due to myocardial ischemia.
C. Aspirin will dissolve any clots that are forming in your coronary arteries.
D.Aspirin will relieve any headaches that are caused by your other
medications.

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6. A client with angina reports not being able to make all of the lifestyle changes
recommended. Which of the following changes should the nurse suggest the
client work on first?
A. Diet modification
C. Smoking cessation
B. Relaxation exercises
D. Taking omega 3 capsules

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