NR 302 CS4 Heart and Great Vessels Case Study

Mr. Thomas Depodi is a 58 year old male who moved to the area from India 20 years ago. He is admitted directly into the cardiac telemetry unit from his physician’s office with a history of dyspnea, dizziness, and chest discomfort. During the admission assessment the nurse measures Mr. Depodi's vital signs and oxygen saturation. They are within normal parameters although the radial pulse rhythm is irregular. 1. Based on Mr. Depodi's reports of increasingly frequent periods of dyspnea, dizziness, and mild chest discomfort, what assessment does the nurse perform next? A. Ask the client to stand and recheck his blood pressure B. Place the client in a supine position and observe for orthopnea C. measure the apical and radial pulse rates at the same time D. Determine if the client is currently experiencing any angina Answer choice D is correct because angina is can be indicative sign of a myocardial infarction or heart attack. A myocardial infarction is an emergency and is very life threatening. With his history of chest discomfort the nurse should determine if the client is currently experiencing angina, angina should be