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12. What would your steps be when a patient is complaining of chest discomfort
Step by step
Solved in 3 steps
- 1. Knowing his history and seeing his condition this morning, what further questions are you going to ask JM and his daughter?5. What nursing procedures may an asthmatic hospital patient who is on the medical/surgical unit access?8. You obtain a set of vitals on the patient above once your establish her ABC's are in tact. The patient has a heart rate of 120, a blood pressure of 80/60, and a respiratory rate of 28. The neighbor says the patient lives alone but hasn't had any problems. She usually is alert, oriented and highly functional. The patient right now is unable to get up on her own and she tells you she is fine, just needs a hand to get up and that. Which of the following are true about your initial management and impression of this patient? Choose all that apply If she has a DNR form (not a MOST or MOLST form) you can leave her at home She likely doesn't have a heat related problem because she has been down on the floor for a while and hasn't been exerting herself Finding out if there are any medication bottles or other evidence of medical problems or medical wishes prior to leaving the house is a good use of time even though the patient is sick One indication for placing her on oxygen would be her fast…
- 2. You find the patient awake, talking to his wife. You introduce yourself, ask if you can provide assistance and then check the patient's pulse while you start talking to him. You note his pulse to be fast and his skin to be a little clammy. He goes on to give you the following information: "I was walking around the market with my wife just now when I suddenly developed severe abdominal pain that felt like it ripped through to my back. The pain isn't as bad now but is definitely still there. When the pain came on initially I got really light headed and had to sit down or else I thought I might pass out. I haven't tried getting up." The patient provided a lot of information to you. What are some specific points on their history that you want to specifically ask given this patient's abdominal pain? Choose all that apply Past surgical history Last menstrual period Location of pain History of similar pain11. The nurse has begun a client's assessment and is applying the blood pressure cuff on a client's arm. Which action would be most appropriate? A. The cuff is wrapped loosely around the arm. B. The cuff is placed about 1 in above the antecubital area. C. The bladder inside the cuff encircles 50% of the arm circumference. D. The nurse can fit three to four fingers under the inflated cuff. Explain each choices why it is and why it is not the answer11.Take the tray at patient’s bedside. Verify the patient’s identity. a. Check name on patient’s identification band b. Ask patient to state his/her name c. Verify patient’s identification with a staff member who knows the patient.
- 4. A 54-year-old woman is brought to the emergency department because of a 30-minute history of severe chest pain. Her temperature is 37C (98.6F), pulse is110/min, respirations are 20/min, and blood pressure is 70/40 mm Hg. Physical examination shows cold, clammy skin. There is no urine output. Cardiac catheterization shows occlusion of the anterior interventricular (left anterior descending) artery and a markedly decreased cardiac output. A decrease in which of the following is most likely in this patient?A.Arterial H+ concentration O B. Mixed venous oxygen tension C. Pulmonary artery pressure D. Serum angiotensin |I concentration E. Serum epinephrine concentration F. Tissue lactate production1. What is the flow of blood through the heart? 2. Name three top priorities of the Medical Assistant? 3. Name a diagnostic imaging test and what it is used to diagnose? 4. What is the first thing you always do in specimen handling for safety?1. An 8-year-old boy suddenly collapses during a basketball game. You check for responsiveness by tapping the child and asking if he is alright. You receive no response. You have someone call 911 and retrieve an AED. What is your BEST course of action? a. Gain IV access b. Check the patient’s pulse c. Start providing rescue breaths d. Check for breathing while checking the pulse they said c is not right, a, b, d, which one is correct? 2. With infant or child pad placement when using an AED, which of the following should you do? a. Use child pads and a dose attenuator if available. b. Place the pads in the normal anterior-lateral position, but do not allow them to touch. c. Use lower dosage shocks if available. d. All of the above They said the answer b is incorrect, a, c, d, which is correct? 3.. What is the proper initial sequence for BLS if the arrest is unwitnessed? a. Locate AED and call for help, initiate compressions. b. Check responsiveness, activate emergency…
- 10. A 45-year-old male is brought to the emergency department by emergency medical services after sustaining a gunshot wound to the abdomen. He is unresponsive. His temperature is 99°F (37.2°C). His blood pressure is 95/58 mmHg, pulse is 115/min, and respirations are 20/min. Physical examination reveals an entry wound in the left abdominal quadrant just inferior to the left costal margin. Abdominal CT suggests that the bullet is Lodged in a retroperitoneal structure. Which of the following structures has the bullet most likely penetrated? a. Sigmoid colon b. Superior duodenum c. Descending colon d. Transverse colon e. Ascending colon10. The nurse is taking the client's blood pressure. The physician asks for the pulse pressure. To obtain the pulse pressure, the nurse will have to do which of the following things? A. Obtain a pulse-pressure machine. B. Subtract the diastolic blood pressure from the systolic. C. Subtract the systolic blood pressure from the diastolic. D. Take client's apical pulse and subtract it from systolic.What would your actions be when a patient is complaining of chest pain
