Patient X is a 64-year-old male cardiac patient in the telemetry unit post-CABG. He is very demanding and expects his needs to be met immediately if not sooner. He refuses to have any female staff members care for him
It is the end of shift and he appears to be stable in normal sinus rhythm. He has removed his telemetry electrodes, is sitting up on the side of the bed, has thrown an empty tissue box across the room, and seems to be trying to get out of bed and walk. He is now coughing loudly and is demanding his pain medication in a loud booming voice that carries across the unit. The type of care that he requires now is: a. direct patient care c. team work
b. indirect patient care d. transcultural care
A
This patient, who is a post-operative cardiac patient, appears to be stable, but is agitated. He needs direct patient care from a nurse to assess his current state regarding agitation, to replace his electrodes, and to assist in easing his fears and need for control (demands). While team work would be great in a situation such as this, it is not essential until the cause for his agitation has been assessed and determined, unless he is a very large man and additional assistance is required to help get him back into bed. Indirect care, such as charting the situation, would also be beneficial, but is not the most urgent need for this patient.
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