NSG233 Prioritization & Delegation: Critical
Cardiac Care- Questions and Answers
Save
Terms in this set (19)
,Ms. S is a 58-year-old 1, 4, 5
African-American woman Rational:
who was admitted to the Because the patient's heart rate is rapid and irregular,
coronary care unit (CCU) she should be on a continuous cardiac monitor and
from the emergency her apical pulse should be monitored. Her O2
department (ED) with saturation is low normal and her heart rate is rapid
reports of chest pressure and irregular, so supplemental oxygen will be useful
and indigestion associated to her heart. Although her blood pressure is high and
with nausea. She started needs to be monitored, every 10 minutes would not
feeling ill about 10 hours allow for patient rest (it would be sensible in an
before she called her emergency but not routinely). Adding oxygen to
daughter, who brought increase myocardial oxygen levels may help restore
her to the ED for Ms. S's respiratory rate to normal. Using a bag is a
admission. She told the strategy for a patient who is hyperventilating and is
nurse that she tried not appropriate in this case. Acetaminophen is usually
drinking water and took ordered for a higher temperature. Also, the HCP
some bismuth would likely want to discover the reason for any very
subsalicylate that was in elevated temperature so it could be treated.
her bathroom medicine
cabinet. She also tried
lying down to rest, but
none of these actions
helped. She states, "It just
gets 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. Her past
medical history includes
gallbladder disease and
gastroesophageal reflux
disease (GERD).
In the ED, admission
, ,
laboratory tests, including
levels of cardiac markers,
were performed, and a
Based on Ms. S's history, 1, 3, 4, 5, 6, 8, 9
which risk factors would Rational:
suggest a possible cardiac Risk factors for cardiac problems include
problem to the nurse? hypertension, family history, obesity, and high-fat diets
(SATA) (which may cause elevation of cholesterol). African-
1. Ms. S's father died at age Americans have higher rates of high blood pressure,
42 years from a heart high cholesterol, obesity, and diabetes, which are
attack. major risk factors for heart dis-ease. Symptoms of
2. History of chest pressure with indigestion and nausea are signs
gastroesophageal reflux that suggest a heart problem. Gallbladder surgery
disease. and GERD would not be risk factors. Quitting smoking
3. Report of chest would be a risk factor, and the years that the patient
pressure and indigestion smoked would be a strong risk factor.
associated with nausea .
4. Patient is an African-
American female.
5. Patient's weight is 278 lb
(126 kg).
6. Diet includes fast foods
three to five times a week.
7. Surgery for gallbladder
removal 1 year ago.
8. Smoked for 43 years;
quit smoking 1 year ago.
9. Hypertension for 12
years 2.
Cardiac Care- Questions and Answers
Save
Terms in this set (19)
,Ms. S is a 58-year-old 1, 4, 5
African-American woman Rational:
who was admitted to the Because the patient's heart rate is rapid and irregular,
coronary care unit (CCU) she should be on a continuous cardiac monitor and
from the emergency her apical pulse should be monitored. Her O2
department (ED) with saturation is low normal and her heart rate is rapid
reports of chest pressure and irregular, so supplemental oxygen will be useful
and indigestion associated to her heart. Although her blood pressure is high and
with nausea. She started needs to be monitored, every 10 minutes would not
feeling ill about 10 hours allow for patient rest (it would be sensible in an
before she called her emergency but not routinely). Adding oxygen to
daughter, who brought increase myocardial oxygen levels may help restore
her to the ED for Ms. S's respiratory rate to normal. Using a bag is a
admission. She told the strategy for a patient who is hyperventilating and is
nurse that she tried not appropriate in this case. Acetaminophen is usually
drinking water and took ordered for a higher temperature. Also, the HCP
some bismuth would likely want to discover the reason for any very
subsalicylate that was in elevated temperature so it could be treated.
her bathroom medicine
cabinet. She also tried
lying down to rest, but
none of these actions
helped. She states, "It just
gets 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. Her past
medical history includes
gallbladder disease and
gastroesophageal reflux
disease (GERD).
In the ED, admission
, ,
laboratory tests, including
levels of cardiac markers,
were performed, and a
Based on Ms. S's history, 1, 3, 4, 5, 6, 8, 9
which risk factors would Rational:
suggest a possible cardiac Risk factors for cardiac problems include
problem to the nurse? hypertension, family history, obesity, and high-fat diets
(SATA) (which may cause elevation of cholesterol). African-
1. Ms. S's father died at age Americans have higher rates of high blood pressure,
42 years from a heart high cholesterol, obesity, and diabetes, which are
attack. major risk factors for heart dis-ease. Symptoms of
2. History of chest pressure with indigestion and nausea are signs
gastroesophageal reflux that suggest a heart problem. Gallbladder surgery
disease. and GERD would not be risk factors. Quitting smoking
3. Report of chest would be a risk factor, and the years that the patient
pressure and indigestion smoked would be a strong risk factor.
associated with nausea .
4. Patient is an African-
American female.
5. Patient's weight is 278 lb
(126 kg).
6. Diet includes fast foods
three to five times a week.
7. Surgery for gallbladder
removal 1 year ago.
8. Smoked for 43 years;
quit smoking 1 year ago.
9. Hypertension for 12
years 2.
