Tony is complaining of occasional palpitations. The palpitat…
Tony is complaining of occasional palpitations. The palpitations occur several times a month, last several seconds to minutes, feels like his heart races. He denies syncopal events, chest pain, or shortness of breath, but the episodes still worry him. Assessment is unremarkable and lab work (including a TSH) is normal. The nurse practitioner would prioritize which of the following orders:
Read DetailsFred McCormick comes to the clinic today complaining of inte…
Fred McCormick comes to the clinic today complaining of intermittent pain in his chest, worried he is having a heart attack. Pain started two days ago. His history: Age 36; no hypertension; mild hyperlipidemia treated with diet therapy; life-long non-smoker; parents; siblings all alive & well with no family of CAD; no previous history of PVD or CVA/TIA; BMI is overweight, but not obese. Physical assessment: Stable VS, 124/67, HR 88, Regular rhythm, non murmurs, clear lung sounds. Chest wall palpitation reveals tenderness and reproducible pain at the costosternal area. EKG: normal sinus rhythm with no ST changes. The nurse practitioner should proceed with which of the following:
Read DetailsGeorge presents for a routine follow-up visit. The MA docume…
George presents for a routine follow-up visit. The MA documents the following vital signs: heart rate 124 irregular, blood pressure 138/91. EKG shows that George is in atrial fibrillation. He was shocked when you told him, as he has felt fine. He cannot see his cardiologist for about 3 more weeks. Which of the following is LEAST PRIORITY for George at this time:
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