What significant laboratory tests are missing from the previous list?
How are you going to respond to W.R.'s angry demands for a cigarette? He also requests
something for his "heartburn." How will you respond?
Serial cardiac enzymes; the order should read creatine kinase (CK), troponin T and I q8h. In addition,
a D-dimer test should be ordered to rule out pulmonary embolus. A fasting lipid panel in the
morning is needed to evaluate lipid levels.
• Address his feelings of loss of control by acknowledging his legitimate issues of craving (cigarettes)
and pain or discomfort. Assure him you will call the physician and get something to help him feel
more comfortable.
• Explain that smoking could cut off oxygen to his heart and increase his pain, burning, or
discomfort (use his choice of words).
• Reassure him that you will be available if he needs help.
• Offer him a choice by asking him whether he would like an antacid (such as Maalox or Mylanta,
which are combination products that contain aluminum and magnesium) per your unit protocol
for his heartburn while you contact the physician. Ask whether there is anything else you can do to
make him more comfortable. (No, he still can't smoke.)
• Remind him that lit cigarettes are not safe when oxygen is being delivered by NC.
• Professional confidence and competence communicate themselves to people experiencing fear
and help meet their need for security.
You might also like to view...
The patient has had a massive myocardial infarction resulting in severe compromise of contractility and hence cardiac output. The patient's body responds to this insult by activating the stress response
What is the most significant adverse effect that activation of the stress response will have for this patient? A) Inhibition of parasympathetic outflow and gastrointestinal activity B) Stimulation of alpha receptors and increase in blood pressure C) Inhibition of venous constriction and reduction of volume return D) Stimulation of beta-1 receptors and increased cardiac contractility
Planning is the fourth step of the nursing process. It involves the prioritization of nursing diagnoses and care and the selection of nursing interventions
According to Maslow's Hierarchy of Needs, which situation exemplifies a physiological need? a. a child experiencing an asthma episode b. an infant whose side rails are left down on her crib c. a high school girl who is not selected to be on the dance team d. a child whose parents constantly call him "stupid"
Which of the following examples represent "elderspeak?" (Select all that apply.)
a. "Ok, honey, let's get a bath now." b. "Oh, dear! We better get you a clean diaper." c. "Today is Tuesday, Mr. Brown. It's your dialysis day." d. "My gracious, Mary! What in the world are you doing out here in the hall?" e. "You naughty girl! Just look at the front of your dress." ANS: A, B, D, E Using baby talk and endearing names is demeaning and is a subtle form of abuse. Giving direct information to the patient, treating the patient as an adult, and using the patient's proper name are respectful types of dialogue.
What is the formula used to calculate flow rate?
What will be an ideal response?