A client presents to the ED presenting complaints of chest pain. Upon assessment, you find the client needs intervention
a. What types of intervention would this client need for chest pain related to an MI?
b. What type of nursing management would you expect to be recommended?
c. What complications would you expect to see?
Students' answers should include the following:
a. Answers should include PTCA, coronary stents, atherectomy, and CABG.
b. Included in the discussion would be pain medications and drugs to dilate coronary arteries and reduce the heart's workload. Physical exercise, diet, and smoking cessation should also be included in the discussion.
c. Complications should include, but not be limited to, dysrhythmias, asystole, cardiogenic shock, ventricular ruptures, aneurysms, embolisms, thrombosis, and valve insufficiency.
You might also like to view...
An overweight client is reluctant to get on the scales at the healthcare provider's office. The client verbalizes that not wanting to know the current weight. Which response by the nurse is the most appropriate?
1. "The doctor requires all of her clients to be weighed." 2. "This information is very important. If you step on the scales, I will just write your weight down and not say it out loud." 3. "I really do not like it either, but it has to be done." 4. "We can just use your weight from your visit last year."
A nurse suspects that a patient is exhibiting signs and symptoms of physical dependence on a central nervous system drug. The nurse should plan to implement which of the following interventions?
a. Increase the drug dose to prevent withdrawal per the prescriber's orders. b. Monitor the patient for signs and symptoms of tolerance. c. Taper the medication to prevent withdrawal as prescribed. d. Augment the central nervous system drug with another, less potent central nervous system drug as prescribed.
The nursing student is preparing a report for class relating to Healthy People 2020 and environmental health. Which of the following should be included in this report? Select all that apply
A) The agency that prepared this initiative is the World Health Organization. B) The overall goal is to "promote health for all through a healthy environment." C) The document provides instructions for persons in the community regarding how to protect their own health. D) One of the six focus areas is global environmental health. E) The document provides guidance for nurses to identify targets for health.
A nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?
A) Weight loss B) Torticollis C) Hypoglycemia D) Tardive dyskinesia