Patient Profile:Name: Jordan W.Age: 45Sex: MaleHeight: 5’11″…
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Pаtient Prоfile:Nаme: Jоrdаn W.Age: 45Sex: MaleHeight: 5'11"Weight: 85 kg (187 lbs)Medical Histоry: Hypertension, hyperlipidemia, no known drug allergies.Current Medications: Metoprolol 50 mg PO BID, Atorvastatin 20 mg PO daily. Presenting Complaint:Jordan presents to the emergency department with a 2-day history of sharp, stabbing chest pain that worsens when lying flat and improves when sitting up and leaning forward. He rates his pain as 8/10. He also reports mild shortness of breath and a recent viral illness 1 week ago. He denies radiating pain to the jaw or left arm. Initial Assessment Data: Vital Signs: Blood Pressure: 138/86 mmHg Heart Rate: 104 bpm Respiratory Rate: 20 breaths/min Temperature: 38.2°C (100.8°F) Oxygen Saturation: 95% on room air Physical Examination: Cardiac: Friction rub noted over the left lower sternal border, heart sounds regular. Respiratory: Clear to auscultation bilaterally. Pain: Sharp pain increased with deep inspiration, decreases when patient sits up and leans forward. GI: Soft, non-distended, normoactive bowel sounds. Diagnostic Data: Electrocardiogram (ECG): Diffuse ST elevation in multiple leads, PR segment depression noted. Complete Blood Count (CBC): WBC 12,000/mm³ C-Reactive Protein (CRP): Elevated Troponin I: 0.02 ng/mL (within normal limits) Echocardiogram: Mild pericardial effusion, no signs of cardiac tamponade. Provider’s Orders: Initiate telemetry monitoring. Administer ibuprofen 800 mg PO every 8 hours for pain and inflammation. Monitor vital signs every 4 hours. Educate the patient on the importance of avoiding strenuous activities. Place the following nursing interventions in the correct order of priority for this patient’s care...ie ( task with number.. 1 being priority)
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