Difficulty: Medium
Average Score: 93%
Full-length
Passage / Scenario
Exhibit 1Vital signs
0800
Temperature 98.4 F (36.8 C)
Blood pressure 110/72 mm Hg
Heart rate 52/min
Respirations 16/min
Exhibit 2
Laboratory results
0800
Hematocrit
Male: 42%ÔÇô52%
(0.42-0.52)
Female: 37%ÔÇô47%
(0.37ÔÇô0.47) 40%
(0.4)
Hemoglobin
Male: 14.0ÔÇô18.0 g/dL
(140ÔÇô180 g/L)
Female: 12.0ÔÇô16.0 g/dL
(120ÔÇô160 g/L) 14.0 g/dL
(140 g/L)
Platelets
150,000ÔÇô400,000/mm3
(150ÔÇô400 ├ù 109/L) 200,000/mm3
(200 × 109/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.0 mEq/L
(4.0 mmol/L)
Exhibit 3
Medication administration record
Allergies: No known drug allergies
Medications Time
Aspirin: 81 mg by mouth, daily 0900
Docusate sodium: 100 mg by mouth, daily 0900
Lisinopril: 5 mg by mouth, daily 0900
Metoprolol: 100 mg by mouth, twice daily 0900, 1700
Simvastatin: 20 mg by mouth, daily 2000
A client with ST segment elevation myocardial infarction is due for 0900 medications. Based on the data shown in the exhibit, which medications should the nurse administer? Select all that apply.
Correct answer
A,C,D,E
Rationale
Aspirin (antiplatelet), lisinopril (ACE inhibitor), metoprolol (beta-blocker), and simvastatin (statin) are standard for STEMI to reduce clot formation, blood pressure, and cholesterol. Docusate is unrelated to STEMI management.