The nurse assesses a 53-year-old client whose partner brough…
The nurse assesses a 53-year-old client whose partner brought the client to the ED with report of acute onset dyspnea, and severe jaw pain that started about an hour ago. The client’s medical history includes DM type 2, obesity, hypertension, hypercholesteremia, and asthma. The client’s admission vital signs include: • Temperature = 37.1°C • HR = 78 BPM and irregular • RR = 26 bpm and slightly labored • BP = 158/90 mm Hg • SpO2 = 95% (on RA) The nurse reviews the client’s assessment data. Select 4 client findings that are relevant and of immediate concern to the nurse.
Read DetailsA 36-year old patient with a history of Coronary Artery Dise…
A 36-year old patient with a history of Coronary Artery Disease (CAD), uncontrolled Diabetes Mellitus Type II (DM2), Hypertension (HTN), and Obesity has just been diagnosed with a myocardial infarction. The nurse understands that the most common complication associated with a myocardial infarction during the acute phase is which of the following.
Read DetailsA patient has been admitted for new onset chest paint. They…
A patient has been admitted for new onset chest paint. They are pale, anxious, and diaphoretic. Vital signs are measured and result in a sustained heart rate of 136 beats per minute. The nurse understands that tachycardia occurring in response of the sympathetic nervous system to the pain of ischemia is detrimental because it increases oxygen demand and
Read DetailsA patient is brought into the emergency room experiencing ch…
A patient is brought into the emergency room experiencing chest pain. Vital signs are recorded as BP- 144/68, HR 111, O2- 98% on 1L, and T- 38.0C. A 12-lead electrocardiographic (ECG) has been completed and the results have been shared with you. Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a patient with chest pain?
Read Details