A nurse teaches individuals at a seminar that essential hypertension, if untreated, predisposes a client to what possible complications? SELECT ALL THAT APPLY.
Blog
A 62 y/o male is arriving from EMS with chest pain. …
A 62 y/o male is arriving from EMS with chest pain. Nurse’s Note: 12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm. Vital Signs: 98.4 F, HR – 112, RR – 18, BP 162/89, Pulse Ox: 93% on RA ECG: Sinus Tachycardia rate 112 bpm. ST elevation noted in V3 and V4 Laboratory Results: Lab Results Reference Range: WBC 9 x 10^3 cells/mm3 4500–11,000/mm3 RBC 5.3 × 106/μL 4.7-6.1 × 106/μL Hgb 15.8 g/dL Male: 14–17.4 g/dL Hct 44% Male: 42–52% Plts 254,000/mm3 140,000–400,000/mm3 Na 144 mEq/L 135-147 mEq/L Cl 104 mEq/L 95-106 mEq/L K 4.8 mEq/L 3.5-5.3 mEq/L CO2 29 mEq/L 22-30 mEq/L BUN 12 mg/dL 6-20 mg/dL Cr 1.1 mg/dL 0.6-1.3 mg/dL Troponin T 0.7 ng/mL 0-0.04 ng/mL Creatine Kinase MB (CK-MB) 187 IU/L 5-25 IU/L Cholesterol 265 mg/dL 240 high The client has now received fibrinolytic therapy post PTCI. Click to specify whether the intervention is indicated or contraindicated post fibrinolytic therapy.
Quality CPR includes the following actions (select all that…
Quality CPR includes the following actions (select all that apply).
Which assessment findings would indicate that a client recei…
Which assessment findings would indicate that a client receiving atenolol may be experiencing dose-related sided effects? Select ALL that apply
A client is placed on a low sodium diet. Which statement by…
A client is placed on a low sodium diet. Which statement by the patient indicates that the nurse’s nutritional teaching plan has been effective?
The nurse who is caring for a 57-year-old male client in the…
The nurse who is caring for a 57-year-old male client in the Emergency Department (ED) History and Physical: Past medical history for atrial fibrillation, hypertension, alcohol abuse, and hypothyroidism. Denies illicit drug use. Smokes one pack of cigarettes per day. Recent admission two weeks prior for atrial fibrillation with rapid ventricular rate (RVR) who was found to have severe left ventricular (LV) dysfunction with an ejection fraction (EF) of 20-25%. The client presented to the ED with bilateral lower leg swelling, and complaints of shortness of breath (SOB) that has been going on for the past two weeks. He reports dyspnea on exertion, SOB when he lays flat and states that he can only walk a few steps before feeling SOB. He also reports that over that last few days he has noticed that his leg swelling has gotten worse, and he has started to develop swelling of the scrotum. Nurses Note: 1/20/23 at 1940: Client arrived in the ED via EMS. Alert and oriented x 3. Client placed on telemetry monitor, showing atrial fibrillation with RVR. Vital signs: 97.1*F, P 164, RR 26, BP 134/102, SpO2 94% on room air. Lung sounds with crackles in bilateral bases. Breathing is labored at times. Jugular venous distention (JVD) is observed. Skin is cool to touch and diaphoretic. Capillary refill
When administering IV potassium chloride, which action shoul…
When administering IV potassium chloride, which action should the nurse take?
A client with angina has been informed by the provider that…
A client with angina has been informed by the provider that lifestyle changes should be made to prevent an MI. Which of the following could be included in that plan of prevention? SELECT ALL THAT APPLY
A 62 y/o male is arriving from EMS with chest pain. …
A 62 y/o male is arriving from EMS with chest pain. Nurse’s Note: 12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm. Vital Signs: 98.4 F, HR – 99, RR – 18, BP 162/89, Pulse Ox: 93% on RA ECG: Sinus Tachycardia rate 99 bpm. ST elevation noted in V3 and V4 Laboratory Results: Lab Results Reference Range: WBC 9 x 10^3 cells/mm3 4500–11,000/mm3 RBC 5.3 × 106/μL 4.7-6.1 × 106/μL Hgb 15.8 g/dL Male: 14–17.4 g/dL Hct 44% Male: 42–52% Plts 254,000/mm3 140,000–400,000/mm3 Na 144 mEq/L 135-147 mEq/L Cl 104 mEq/L 95-106 mEq/L K 4.8 mEq/L 3.5-5.3 mEq/L CO2 29 mEq/L 22-30 mEq/L BUN 12 mg/dL 6-20 mg/dL Cr 1.1 mg/dL 0.6-1.3 mg/dL Troponin T 0.7 ng/mL 0-0.04 ng/mL Creatine Kinase MB (CK-MB) 187 IU/L 5-25 IU/L Cholesterol 265 mg/dL 240 high H&P: 62 y/o male lives independently at home with spouse of 40 years. Came in on 12/16/23 after shoveling snow c/o crushing sternal pain, radiating down the left arm. States he stopped shoveling after 30mins of pain, and the pain continued. The pain becomes worse with activity and started approximately two hours ago. Patient states he also became short of breath with activity. Wt: 102.3 kgs Ht: 5’9” BMI: 33.2 PMH: DMII, HLD, GERD, Asthma, Sleep apnea, Smoker 1/2 pack per day Family Hx: Mother – Alive – DMII, CAD, CHF, COPD Father – Deceased at 52 – MI, CAD Sibling – Alive – CAD, DMII Diet: High in carbohydrates, protein; poor in fresh fruits/vegetables. Occupation: Owns own business – landscaping Order: Morphine 0.5mg IV Aspirin 325mg PO Nitroglycerin – titrate gtt per protocol Metoprolol 50mg PO Oxygen Therapy- maintain O2 > 92%, up to 6L Thrombolytic Therapy per protocol Monitor neuro status Insert 2nd IV What is the nurse’s priority action?
The nurse is developing a nursing care plan for a patient wh…
The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?