NCLEX PHARMACOLOGY & PHYSIOLOGY EXAMS WITH NGN (REAL EXAM)

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A history of cerebral hemorrhage is a contraindication to tPA because it may increase the risk of bleeding. TPA acts by dissolving the clot blocking the coronary artery and works best when adminis... tered within 6 hours of onset of symptoms. Option A: Chest pain is one of the symptoms of myocardial infarction. Option C: Prior MI is not a contraindication to tPA. Option D: Patients receiving tPA should be observed for changes in blood pressure, as tPA may cause hypotension. 14. Question 1 point(s) Category: Health Promotion and Maintenance Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient? A. Increases fitness and prevents future heart attacks B. Prevents bedsores C. Prevents DVT (deep vein thrombosis) D. Prevent constipations Incorrect Correct Answer: C. Prevents DVT (deep vein thrombosis) Exercise is important for all hospitalized patients to prevent deep vein thrombosis. Muscular contraction promotes venous return and prevents hemostasis in the lower extremities. Options A, B, and D: This exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or constipation. 15. Question 1 point(s) Category: Physiological Adaptation A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock? A. Hypertension B. Bradycardia C. Bounding pulse D. Confusion Correct Correct Answer: D. Confusion [Show More]

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