CASE STUDY 1 (CHEST PRESSURE, INDIGESTION, NAUSEA,
AND VOMITING) - PRIORITIZATION, DELEGATION, AND
ASSIGNMENT EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
, Ms. S is a 58-year-old African-American woman who is admitted to the coronary care
unit (CCU) from the emergency department (ED) with reports of chest pressure and
indigestion associated with nausea. She started feeling ill about 10 hours before she
called her daughter, who brought her to the ED for admission. She told the nurse that
she tried drinking water and took some bismuth subsalicylate that was in her bathroom
medicine cabinet. She also tried lying down to rest, but none of these actions helped.
She states, "It just gets worse and worse." Ms. S has been under a health care
provider's (HCP's) care for the past 12 years for management of hypertension and
swelling in her ankles. She was a smoker for 43 years but quit 1 year ago.
In the ED, admission laboratory tests, including levels of cardiac markers, were
performed, and a 12-lead electrocardiogram (ECG) was taken.
Ms. S's CCU *vital sign values* on admissio - ANSWER
Which risk factors from Ms. S's history would suggest a possible cardiac problem to the
nurse? *Select all that apply.*
•Hypertension for 12 years
•Smoked for 43 years; quit smoking 1 year ago
•Surgery for gallbladder removal 1 year ago
•Ms. S's father died at age 42 years from a heart attack
•Client's weight is 278 lb (126 kg)
•Diet includes fast foods three to five times a week - ANSWER •Hypertension for 12
years
•Smoked for 43 years; quit smoking 1 year ago
•Ms. S's father died at age 42 years from a heart attack
•Client's weight is 278 lb (126 kg)
•Diet includes fast foods three to five times a week
•Risk factors for cardiac problems include hypertension, family history, obesity, and
high-fat diets (which may cause elevation of cholesterol). Gallbladder surgery would not
be a risk factor. Quitting smoking would be a risk factor, and the years that the client
smoked would be a strong risk factor.
Which action is *best* for the nurse to delegate to a new unlicensed assistive personnel
(UAP) orienting to the CCU when caring for Ms. S?
AND VOMITING) - PRIORITIZATION, DELEGATION, AND
ASSIGNMENT EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
, Ms. S is a 58-year-old African-American woman who is admitted to the coronary care
unit (CCU) from the emergency department (ED) with reports of chest pressure and
indigestion associated with nausea. She started feeling ill about 10 hours before she
called her daughter, who brought her to the ED for admission. She told the nurse that
she tried drinking water and took some bismuth subsalicylate that was in her bathroom
medicine cabinet. She also tried lying down to rest, but none of these actions helped.
She states, "It just gets worse and worse." Ms. S has been under a health care
provider's (HCP's) care for the past 12 years for management of hypertension and
swelling in her ankles. She was a smoker for 43 years but quit 1 year ago.
In the ED, admission laboratory tests, including levels of cardiac markers, were
performed, and a 12-lead electrocardiogram (ECG) was taken.
Ms. S's CCU *vital sign values* on admissio - ANSWER
Which risk factors from Ms. S's history would suggest a possible cardiac problem to the
nurse? *Select all that apply.*
•Hypertension for 12 years
•Smoked for 43 years; quit smoking 1 year ago
•Surgery for gallbladder removal 1 year ago
•Ms. S's father died at age 42 years from a heart attack
•Client's weight is 278 lb (126 kg)
•Diet includes fast foods three to five times a week - ANSWER •Hypertension for 12
years
•Smoked for 43 years; quit smoking 1 year ago
•Ms. S's father died at age 42 years from a heart attack
•Client's weight is 278 lb (126 kg)
•Diet includes fast foods three to five times a week
•Risk factors for cardiac problems include hypertension, family history, obesity, and
high-fat diets (which may cause elevation of cholesterol). Gallbladder surgery would not
be a risk factor. Quitting smoking would be a risk factor, and the years that the client
smoked would be a strong risk factor.
Which action is *best* for the nurse to delegate to a new unlicensed assistive personnel
(UAP) orienting to the CCU when caring for Ms. S?
