An hour after her admission, you are preparing C.B. for her coronary intervention. Evaluate her readiness for teaching and her learning needs
What would you tell her?
• Be brief in your explanation because she is still in some pain and in an unstable condition. This is
not the time to go into lengthy anatomy and physiology discussions. Her biggest problem right
now probably is fear.
• Briefly explain that this is a common procedure, and the physicians do many of these every day.
Tell her that the purpose is to restore blood flow to her narrowed (stenosed) coronary artery
by inserting a stent. She will be taken to the cardiac catheterization laboratory where the stent
insertion will be performed. Tell C.B., "During the procedure, the physician will tell you what you
will feel and when." Knowing she will get a heads-up might help her relax.
• Briefly explain what she might experience. Tell her she might feel a warm, flushed sensation; a
sudden burning feeling; or the need to urinate as the dye is injected. She will experience chest pain
for a brief time during the insertion of the stent into the vessel. During or after the procedure, she
might feel irregular heartbeats or temporary numbness and tingling of the extremity used for the
procedure.
• Reassure her that physicians and/or nurses will be with her at all times to assist her with pain
control and give support and information as she requires it.
• If you feel comfortable doing so, explore whether she would like someone to pray with her. This
can be extremely powerful in relieving fear.
You might also like to view...
A patient has been found to have an indolent neoplasm. The nurse should recognize what implication of this condition?
A) The patient faces a significant risk of malignancy. B) The patient has a myeloid form of leukemia. C) The patient has a lymphocytic form of leukemia. D) The patient has a major risk factor for hemophilia.
When assessing a patient who has been prescribed midodrine, what would the nurse assess for?
A) Pancreatic disease B) Renal failure C) Open-angle glaucoma D) Hypothyroidism
A patient reports feeling drowsy after taking a first-generation antihistamine. Which statement is the most appropriate response for the health care provider to give the patient?
a. The drowsiness will probably worsen over time. b. This effect can be reversed by taking a central nervous system (CNS) stimulant at the same time. c. The patient should not take any further doses of this drug. d. Tolerance to the drowsiness should develop within a few days or weeks.
You notice that wait times in your Emergency Department are growing longer, because of factors such as increases in the numbers of persons with chronic disorders, discharge of patients into the community at a higher level of acuity, and limited resources for transfer of inpatients. You begin to think about an application that would use your knowledge of the Emergency Department but also software and business applications and wonder if this would reduce wait times. You have not encountered anything similar to this idea. According to the Wise Forecast Model©, you are in what phase?
a. Wild thinking b. Act widely c. Think wildly d. Learn widely