A Patient Presents to the ED Complaining of Severe Substernal

question 8

Multiple Choice

A patient presents to the ED complaining of severe substernal chest pressure radiating to the left shoulder and back that started about 12 hours ago.The patient delayed coming to the ED,hoping the pain would go away.The patient's 12-lead ECG shows ST-segment depression in the inferior leads.Troponin and CK-MB are both elevated.What does the nurse understand about thrombolysis in this patient?

• A) The patient is not a candidate for thrombolysis.
• B) The patient's history makes him a good candidate for thrombolysis.
• C) Thrombolysis is appropriate for a candidate having a non-Q wave MI.
• D) Thrombolysis should be started immediately.

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Definitions:

Diathesis-Stress Model

A psychological theory that explains behavior as both a result of genetic and biological predispositions and life stressors.

Dynamically and Reciprocally Interacting

A process or situation where factors or entities influence each other in complex and interrelated ways over time.

Regression

A return to earlier stages of development or behavior in response to stress or trauma.

Freud

Sigmund Freud, an Austrian neurologist, pioneered psychoanalysis, which is a therapeutic approach for addressing mental disorders through conversations between a psychoanalyst and their patient.