Cardiac Shock and Acute Coronary Syndrome · NCLEX Exam

What coronary artery occlusion is suggested by ST elevation in leads V1–V4 on ECG?

  1. Encourage early ambulation to reduce systemic fluid overload
  2. Place in semi-Fowler's, monitor hemodynamics, ready advanced support
  3. Discontinue cardiac monitoring and wait for a physician order
  4. Administer pain medication only and defer all other interventions
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Correct answer: Place in semi-Fowler's, monitor hemodynamics, ready advanced support

ST elevations in V1–V4 typically indicate occlusion of the left anterior descending (LAD) artery.

Difficulty: Medium Question 6 of 11

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