MANAGING NEEDSA client is being seen at an urgent care facility for the treatment of severe acute angina. A nurse is administering sublingual nitroglycerin to the client every 5 minutes. What is the maximum number of doses of nitroglycerin the nurse should administer before reporting no improvement to the primary health care provider?1. 3 doses in a 15-minute period2. 5 doses in a 30-minute period3. 7 doses in a 30-minute period4. 9 doses in a 60-minute period

Nitroglycerin is a medication used to treat angina which is a condition characterized by chest pain…

Answered: A client is being seen at an urgent…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker.a. Why would you say that the client has angina pectoris and not myocardial infarction? b. What instructions should the nurse give the client to prevent further attacks? 11, 12, 132. A 50-year-old stockbroker has recovered from coronary artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD? 3. A client is scheduled for an…
An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment. Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO2 86% on 2L NC Noted barrel chest presentation Productive cough with dark red sputum Noted wheezing on auscultation visible shortness of breath, dyspnea on exertion abdomen soft, round, and non-tender shaking with chills Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?
What are the patient teaching for these scenarios - Susan, age 82 years, who takes furosemide daily as part of her treatment for heart failure. She complains of dizziness upon standing.- Eden, age 64 years, who has diabetes and is now taking metolazone for hypertension.- Kevin, who is taking metolazone (Zaroxolyn) for his essential hypertension. He’s also taking digoxin and is allergic to trimethoprim– sulfamethoxazole (Bactrim).- Wilma, who is worried about losing potassium while taking bumetanide. She asks you about ways to increase her intake of potassium and what signs to look for if her potassium “goes too low.”- Micha, who has a cerebral bleed: the indications, safety precautions (filter, crystallization), and expected outcome of receiving mannitol.
b) Imagine that you are a nurse and that you are advising one of your patients. Provide three lifestyle practices that you will suggest to them and for each practice, explain how it helps (at the cellular level) to prevent or slow the progression of atherosclerosis. Ple points
Discuss deep vein thrombosis including risk factors and ways to avoid it Discuss deep vein thrombosis treatments including warfarin Discuss side effects and interactions of warfarin therapy. What kind of testing is done? What is the therapeutic range and how often should he test? Discuss diet in relation to warfarin therapy. What goals should be set for him? What other departments or individuals should be included in his plan of care? What other considerations should be considered to make this a comprehensive case study with detailed plan of care?
If the patient was given verapamil and metoprolol, which of the following would likely be true? The patient would likely experience an increase in HR The patient may have an increased blood pressure The patient would experience bradycardia The patient may experience hypokalemia
What clinical manifestation would the nurse expect to find in a client who is experiencing anaphylaxis? Dilated bronchioles, constriction of peripheral blood vessels, decreased capillary permeability. Asthma, deep vein thrombosis, encephalopathy Narrowing of the bronchioles, dilation of the peripheral blood vessels, increased capillary permeability. Left-sided heart failure, pulmonary embolism, urinary tract infection.
What are the alternatives for treatment when a patient has VRSA and the target for VRSA? Minimum of 300 words There must be citations in the report and each citation should be found in a reference list that follows your report. There must be heading of paragraphs that indicate the contents NOTE: please concentrate only on VRSA
Mrs. Sara Jones, an 84-year-old,250 lbCaucasian female, is admitted to the unit for a hip fracture. She has been active and likes to garden. She does admit to smoking a pack of cigarettes a day. She also has a history of atrial fibrillation, which is why she receives Coumadin 2 mg every day. Mrs. Jones will require general anesthesia for her hip surgery. She is very apprehensive since being admitted 2 hours ago. (Learning Objectives 1, 2, 3, 4, 5, 7, 8, 9) 1. What risk factors for surgery does Mrs. Jones have? 2. What laboratory results of this client should the nurse review? Why? 3. Discuss what steps should be taken in preparing this client for the postoperative care.
Case #2: A new 60-year-old patient presents to the medical clinic with severe angina. He noted that after taking several doses of his sublingual nitroglycerin, he was unable to relieve his anginal pain. His cardiac troponins are elevated and his ECG shows ST wave elevation. He is currently also taking a low dose aspirin. He is 1.8 meters tall with a waist measurement of 1.1 m. Weight is 97 kg, blood pressure is 150/95 mm Hg, and pulse is 85. Q13: In the above patient, which best describes their current condition? STEMI NSTEMI Unstable Angina Stable Angina
A nurse is reviewing the laboratory values of the client who has COPD. Which of the following findings should the nurse report to the provider? Potassium 3.7 mEq/ L Iron 150 mcg/ dL Hgb 13,000/ mm3 White blood cell count 13,000 mm3 Give typing answer with explanation and conclusion
A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. What kind of data provided by the client requires further validation? Give reasons. How should the nurse validate the client’s information and findings?

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