Shadow Health Brian Foster - chest pain focused exam with correct answers

Palpated PMI Displaced laterally Less than 3cm Brisk and tapping Palpated tibial arteries Right: Vibration - No thrill Right: Amplitude - 1 + Left: Vibration - No thrill Left: Amplitude - 1+ Palpated dorsalis pedis arteries Right: Vibration - No thrill Right: Amplitude - 1 + Left: Vibration - No thrill Left: Amplitude - 1+ Auscultated heart sounds S1, S2, and S4 audible Gallops Auscultated carotid arteries Right: no bruit Left: no bruit Auscultated abdominal aorta No bruit Auscultated abdominal and lower extremities Right: Renal - No bruit Right: Iliac- No bruit Right: Femoral - No bruit Left: Renal - No bruit Left: Iliac - No bruit Left: Femoral - No bruit Auscultated breath sounds Present in all areas No adventitious sounds All areas clear Performed EKG Irregular No ST elevation Nursing diagnosis -Exhibits -Deficient knowledge -Insufficient knowledge of cardiac disease -Insufficient knowledge of resources for cardiac procedure recovery Signs and symptoms -Not currently on cardiac diet -Sedentary lifestyle prior to hospitalization -New placement of cardiac stent Short term goal To have patient verbalize and agree to their post-stent care and heart-healthy lifestyle instructions, by end of hospitalization Interventions -Inform patient that his provider will be in soon to discuss post-operative medication -Instruct patient that if chest pain develops, he should alert staff immediately -Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated -Instruct patient to begin exercise regimen after a week -Instruct patient to begin cardiac diet, including reduction of salt and red meat intake -Instruct patient to begin cardiac diet immediately -Instruct patient to monitor stent site for signs of bleeding -Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage