Prioritization & Delegation Set 2

11. You are working in the ED when a patient arrives complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline laboratory tests are drawn. Which one will be most useful in determining whether you should anticipate implementing the acute coronary syndrome (ACS) standard orders? A. C-reactive protein B. Myoglobin C. Creatine Kinase – MB D. Troponin I 12. You are monitoring a 53-year-old client who is having a stress test using a treadmill. Which of these symptoms will require the most immediate action? A. BP 152/88 B. Sinus Tachycardia, rate 134 C. Chest pain level 3 (1-10 scale) D. Oxygen saturation 91% 13. You are the charge nurse for the coronary care step-down unit. Which client is best to assign to an RN who has floated for the day from the general medical/surgical unit? A. Client just admitted with unstable angina and who has orders for a heparin infusion and aspirin. B. Client just transferred from the cardiac catheterization lab following a coronary angioplasty. C. Client receiving IV furosemide (Lasix) to treat acute left ventricular failure. D. Client requiring discharge teaching about coronary artery stenting prior to going home with spouse today