A Patient Presents to the ED Complaining of Severe Substernal

question 25

Multiple Choice

A patient presents to the ED complaining of severe substernal chest pressure radiating to his left shoulder and back that started about 12 hours ago.The patient delayed coming to the ED since he was 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.The hospital does not have the capability for percutaneous coronary intervention.Thrombolysis is one possible treatment.Based on these data,the nurse understands that?

• 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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