Swift River 2 Updated 2024/2025 Actual Questions and answers with complete solutions

Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Chest pain became progressively worse, so he called for an ambulance to bring him to the Emergency Department. Once the ambulance arrived, he reported his pain as 10/10. The 12-lead EKG showed ST elevation. Vital signs were HR 160, BP 145/102, Respirations 23, and Pulse Ox 89%. He was given nitroglycerin during transport to the hospital with little relief. He complained of feeling "light- headed". He has been admitted to the unit, and the pain has subsided. He does have a 10-year history of hypertension. He was transferred here to the cardiac stepdown unit from the ER, because no beds were open in cardiac ICU. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood drawn for cardiac enzymes, Peripheral IV started to left forearm. SCENARIO - Educational Needs increased Fall Risk increased Health increased Neurological normal Pain level normal Psychological Needs normal NURSING CONCERNS: Physiological: Acute Pain T Altered body image F Anxiety T Disturbed thought process F Impaired gas exchange T Impaired tissue perfusion T Ineffective health maintenance T Powerlessness TSafety: Drug therapy T Risk for social isolation F