Swift River 2.0: Tom Richardson Questions and Answers Latest Version Already Passed

Swift River 2.0: Tom Richardson Questions and Answers Latest Version Already Passed Tom Richardson, a 58-year-old male, presents to the emergency department with chest pain. He is sweating profusely and looks anxious. What is the nurse’s first action? Administer oxygen and assess vital signs. Tom's blood pressure is 150/90 mmHg, and he is complaining of feeling lightheaded. What should the nurse do next? Check his blood pressure in both arms and reassess for dizziness. Tom has a history of smoking and a family history of heart disease. What should the nurse teach him about lifestyle changes? Advise quitting smoking, reducing alcohol intake, and increasing physical activity. Tom is ordered to have an ECG. What should the nurse explain to him about the procedure? The ECG is non-invasive and will record the electrical activity of your heart. 2 Tom's ECG shows elevated ST-segments. What does this indicate? Possible acute myocardial infarction and the need for immediate medical intervention. After receiving nitroglycerin, Tom reports that his chest pain has decreased. What should the nurse do next? Monitor his vital signs, especially blood pressure, and assess for side effects like dizziness. Tom is diagnosed with angina. What is the primary goal of his treatment? To relieve chest pain and improve oxygen supply to the heart. Tom's cholesterol level is high. What dietary recommendations should the nurse give? Recommend a low-fat, low-cholesterol diet with plenty of fruits, vegetables, and whole grains. Tom is on a beta-blocker to manage his blood pressure. What side effect should he be educated about? Monitor for symptoms of bradycardia and fatigue. 3 Tom is prescribed aspirin as part of his treatment plan. What should the nurse explain about the medication? Aspirin helps prevent blood clots that can cause heart attacks and strokes. Tom's blood pressure is still elevated despite treatment. What should the nurse suggest? Follow up with the healthcare provider to assess treatment effectiveness and possible medication adjustments. Tom has a history of diabetes. How does this affect his cardiovascular health? Diabetes increases the risk of coronary artery disease due to damage to blood vessels. Tom is admitted with a possible myocardial infarction. What is the priority intervention? Administer aspirin and nitroglycerin as prescribed, and prepare for a possible cardiac catheterization. Tom is anxious about his diagnosis. What should the nurse do to help manage his anxiety? Offer reassurance, answer his questions, and involve him in his care plan. 4 Tom's lungs are clear, but he is reporting fatigue and weakness. What could this indicate? Decreased cardiac output and the need for further assessment of his heart function. Tom is started on a diuretic to manage his heart failure. What is an important monitoring consideration? Monitor Tom’s potassium levels, as diuretics can cause hypokalemia. Tom has been on bed rest due to his heart condition. What should the nurse encourage him to do when he starts feeling better? Gradually increase activity levels and avoid sudden, strenuous exercises. Tom is discharged with a prescription for a statin. What should the nurse inform him about this medication? Statins help lower cholesterol and reduce the risk of heart attacks and strokes. Tom reports experiencing dizziness when standing up. What should the nurse assess for? Orthostatic hypotension, especially since