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A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should identify that an increase in which of the following values is diagnostic of a myocardial infarction (MI)?

a.Myoglobin
b.C-reactive protein
c.Creatine kinase-MB
d.Homocysteine

1 Answer

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Final answer:

An increase in creatine kinase MB and cardiac troponin are diagnostic of a myocardial infarction (MI).

Step-by-step explanation:

An MI can be confirmed by examining the patient's ECG, which frequently reveals alterations in the ST and Q components. Some classification schemes of MI are referred to as ST-elevated MI (STEMI) and non-elevated MI (non-STEMI). In addition, echocardiography or cardiac magnetic resonance imaging may be employed. Common blood tests indicating an MI include elevated levels of creatine kinase MB (an enzyme that catalyzes the conversion of creatine to phosphocreatine, consuming ATP) and cardiac troponin (the regulatory protein for muscle contraction), both of which are released by damaged cardiac muscle cells.

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