Concept explainers
(1)
To determine:
Mr. D is an elderly person (52-year old) who hospitalized yesterday for angina pectoris and planned for a cardiac stress check at 0900.
Introduction:
A staff nurse (32-bed cardiac step-down unit) has been assigned as the instructor for RN.T, RN, and a graduate nurse (who begins his nursing carrier). The staff nurse and RN.T received the shift report and assigned with different patients. Do they give priority to which patient?
(1)
Explanation of Solution
Mr. D is suffering from angina pectoris (chest pain). The staff nurse and RN.T and planned for a cardiac stress check at 0900. Cardiac stress check may do after some time. It is not necessary to give priority to this patient since the patient needs an intermediate priority. Hence, the staff nurse and RN.T do not give priority to this patient.
(2)
To determine:
Mrs. Wallace is an elderly person (60-year old) who moved out of intensive care (at 0630) unit today. She had coronary artery bypass operation yesterday.
Introduction:
A staff nurse (32-bed cardiac step-down unit) has been assigned as the instructor for RN.T, RN, and a graduate nurse (who begins his nursing carrier). The staff nurse and RN.T received the shift report and assigned with different patients. Do they give priority to which patient?
(2)
Explanation of Solution
Mrs. Wallace had coronary artery bypass operation yesterday. After surgery, her health condition will be normal and she will develop recovery soon. Therefore, the patient needs a low priority. Hence, the staff nurse and RN.T do not give priority to this patient.
(3)
To determine:
Mr. Workman is a patient affected with myocardial infarction and he experienced this infection before two days and he is developing chest pain (rated as 6 on a scale of 0-10).
Introduction:
A staff nurse (32-bed cardiac step-down unit) has been assigned as the instructor for RN.T, RN, and a graduate nurse (who begins his nursing carrier). The staff nurse and RN.T received the shift report and assigned with different patients. Do they give priority to which patient?
(3)
Explanation of Solution
Mr. Workman needs to give priority because; he is undergoing chest pain after myocardial infection. This pain should be treated instantaneously to minimize the myocardial O2 consumption. He is undergoing an immediate threat in the form of a severe physiological problem (infarction of the heart muscle).
(4)
To determine:
Mrs. Harris, an elderly patient (76-year-old) undergone permanent pacemaker insertion.
She is experiencing an incision pain (evaluated as a 5 on a scale of 0-10)
Introduction:
A staff nurse (32-bed cardiac step-down unit) has been assigned as the instructor for RN.T, RN, and a graduate nurse (who begins his nursing carrier). The staff nurse and RN.T received the shift report and assigned with different patients. Do they give priority to which patient?
(4)
Explanation of Solution
Mrs. Harris, experiencing incision pain, he needs to give intermediate priority (which can be treated after some time). Hence, the staff nurse and RN.T do not give priority to this patient.
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Chapter 21 Solutions
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