A 54-year-old male patient presents to the emergency department with chest pain thatstarted 2 hours ago. He describes the pain as a pressure sensation in the center of hischest, radiating to his left arm. The patient has a history of hypertension and type 2diabetes. His vital signs on admission are as follows: blood pressure 150/90 mmHg,heart rate 98 bpm, respiratory rate 20 breaths/min, and oxygen saturation 96% on roomair. An electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF.Based on this information, what is the most appropriate initial nursing action?A) Prepare the patient for an immediate coronary angiography.B) Administer sublingual nitroglycerin and aspirin as ordered.C) Start an intravenous insulin infusion.D) Provide supplemental oxygen and initiate continuous ECG monitoring.

A 54-year-old male patient presents to the emergency department with chest pain that started 2 hours…

Answered: A 54-year-old male patient presents to…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Mrs. Johnson, a 78-year-old woman with a history of hypertension and type 2 diabetes, was admitted to the hospital with symptoms of congestive heart failure. Her current medications include Metformin, Lisinopril, and Furosemide. As her primary nurse, you notice she has been increasingly short of breath and has a 3-pound weight gain since her last weigh-in two days ago. Her current vital signs are BP 160/90 mmHg, HR 88 bpm, RR 22 breaths/min, and SpO2 92% on room air. Options: a) Increase her dose of Furosemide. b) Administer supplemental oxygen and reassess her vital signs. c) Monitor her condition without intervention. d) Restrict her fluid and sodium intake immediately.
Case #2: A new 60-year-old patient presents to the medical clinic with severe angina. He noted that after taking several doses of his sublingual nitroglycerin, he was unable to relieve his anginal pain. His cardiac troponins are elevated and his ECG shows ST wave elevation. He is currently also taking a low dose aspirin. He is 1.8 meters tall with a waist measurement of 1.1 m. Weight is 97 kg, blood pressure is 150/95 mm Hg, and pulse is 85.
Vitals Signs On a non-rebreather mask, my heart rate was 128, my blood pressure was 100/60, my respiratory rate was 25, my temperature was 37.7°C, and my SpO2 was 92 percent. The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Determine/Identify the life threatening injuries of the patient using ABC and why? A-airway B-Breathing C-circulation
Analyze the following electrocardiogram traces taken from the patient. اللسان سلا Trace 1. Taken during one of the episodes of supraventricular tachycardia سلسلسالسليد II Trace 2. Taken after the end of an episode of supraventricular tachycardia. It is observed in sinus rhythm A) Which of the following elements of the electrocardiogram tracing is absent during the tachycardia episode and reappears in the sinus rhythm tracing? a) ST segment b) P wave c) QRS complex d) T wave B) Briefly explain the origin of the electrical activity of the heart that is reflected in the P wave of the electrocardiogram.
Mrs. Sara Jones, an 84-year-old,250 lbCaucasian female, is admitted to the unit for a hip fracture. She has been active and likes to garden. She does admit to smoking a pack of cigarettes a day. She also has a history of atrial fibrillation, which is why she receives Coumadin 2 mg every day. Mrs. Jones will require general anesthesia for her hip surgery. She is very apprehensive since being admitted 2 hours ago. (Learning Objectives 1, 2, 3, 4, 5, 7, 8, 9) 1. What risk factors for surgery does Mrs. Jones have? 2. What laboratory results of this client should the nurse review? Why? 3. Discuss what steps should be taken in preparing this client for the postoperative care.
Case #2: A new 60-year-old patient presents to the medical clinic with severe angina. He noted that after taking several doses of his sublingual nitroglycerin, he was unable to relieve his anginal pain. His cardiac troponins are elevated and his ECG shows ST wave elevation. He is currently also taking a low dose aspirin. He is 1.8 meters tall with a waist measurement of 1.1 m. Weight is 97 kg, blood pressure is 150/95 mm Hg, and pulse is 85. Q13: In the above patient, which best describes their current condition? STEMI NSTEMI Unstable Angina Stable Angina
You are working a shift from 0700 to 1500, and Mr. Persaud is under your care. He is undergoing nasogastric aspiration with the following orders. Primary IV: D5NS @.95.mL/hr. Replace nasogastric drainage with RL over 3 hours at the beginning of each 8-hour shift via IV piggy-back. Shift report: D5NS: 825 mL RL: 425 mL N/G drainage: 185 mL Show all calculations. a) What volume of D5NS is required over the course of your shift? b) At what time will you begin infusing primary IV fluid? c) At what rate will you administer D5NS? d) At what rate will you administer RL? e) How much primary IV fluid will remain in the IV bag at 1400?
Ginger is a 78-year old female who is coming to your Pulmonary Rehab. Program for her first session, referred by her pulmonologist. Her history is as follows: Medical History: COPD, Chronic bronchitis, past smoker- 2 packs per day x 50 years- quit 3 weeks ago, Type II Diabetes, Hypertension Medications: Atenolol (beta blocker, slows heart rate and decreases blood pressure), Lasix (diuretic, decrease blood pressure), Albuterol inhaler (for opening airways, COPD), Serevent inhaler (longer lasting but not for quick needs if short of breath) 1. As a clinical exercise physiologist in Pulmonary Rehab., list any type of pre-exercise assessment you & your co-workers would want to do with Ginger before her first bout of exercise. She already has diagnostic tests done (PFT’s, arterial blood gasses), so those are out of your realm and something you can review, but not performed in rehab setting. 2. What special considerations do you take into account for Ginger as someone with COPD in…

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