Question

Mrs. Jones is a 63-year-old patient who has come to the ED after waking this morning...

Mrs. Jones is a 63-year-old patient who has come to the ED after waking this morning at 8:00 AM experiencing symptoms after eating. She has a 5-year history of hyperlipidemia, hypertension, type 2 diabetes, and osteoarthritis. She states that she had a total hysterectomy 10 years ago and that her gallbladder was removed 2 years ago. At this time, the patient states that she has fatigue, shoulder pain, indigestion, a moderate ache in the chest that is worse on inspiration, nausea, and a headache.

1. Which portion(s) of Mrs. Jones’s health history should the nurse identify that require priority assessment?

2. Based upon the symptoms that Mrs. Jones expressed and the nurse’s identification of priority assessment, what actions should the nurse take?

3. What would be the indication for Aspirin in this case?

4. Provide a brief introduction of yourself to the class. (Share 3-4 facts).

Homework Answers

Answer #1

1. the prior history of hyperlipidemia and hypertension requires a lot of assessment as she is experiencing chest ache, indigestion, pain while inspiration.

2.

vital signs are monitored

ecg will be assessed to check for any coronary syndrome or dysrhymias

analgesics will be administered as per physician's order to relieve pain

3.

aspirin helps to reduce inflammation and dissolve clot in case of myocardial infarction or acute coronary syndrome.

4.

i am a nurse by profession. i am passionate and enthusiastic towards caring for my clients. special care and quick assessment is required to save the life of the patient in emergency medical conditions.

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