Nursing Care Assessment Question Discussion Paper
T. C. is a 48-year-old Caucasian man presenting in the emergency… T. C. is a 48-year-old Cavcasian man presenting in the emergency department with reports of chest pain for the past 20 minutes. He is diaphoretic, pale, and reporting mid-sternal pain 7 no. Pain is descriced as hemry pressure, not radiating to his neck of arm, He denies nausea. He has taken 3 nitro sprays without effect. VS on admission: 37.3-P 110 (regula)- RR 26 BP sat 918 on RA. ECG: ST segment elevation. Troponin t or Ti result pending CK-MB: result pending Past Medical History: – Hyperterision – Hypercholesterolemia – Coronary Artery Disease – Stable Angina – 20 pack year smoker Family History: – Father-Hypertension, diabetes, Mi aged 51-deceased – Mother Hypertension and Hypercholesterolemia – Brother Ma aged 50, diabetes type 2 Social History: Divorced, two chidren (ages Bi), works as a traveing salesperson. Current Home Medications: – EC ASA PO daily – Nitroglycerin spray 0.4mg SL q 5 min doses prn – Metoproiol PO BID – Lovastatin PO dally Choose four prionity nursing assessment questions to ask this patient. 2. Identify in order of peiority 3 nursing interventions tor this pasient. 13 3. Briefly explain what you would expect the troponin result to be and the rationale for this prediction. /3 4. Based on T.C.’s presenting iliness explain whether you think he is expeniencing stable angina, unstable angina or an ML. Support your answer with clear lins to assessment findings and findings of diaghostic tests identified above to differentiate between the three possibilities. Nursing Care Assessment Question Discussion Paper
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Priority Care Assessment Question:
Can you describe your pain in more detail?
Have you ever had chest pain or heart problems before?
Have you taken any medication other than nitroglycerin spray?
Do you have any allergies or adverse reactions to medications?
Explanation: Nursing Care Assessment Question Discussion Paper
Priority questions are been mentioned in this step.
Take some aspirin if you are not already taking it, as it can help prevent more blood clots from forming.
Morphine sulfate is given as directed to relieve pain and reduce anxiety.
Prepare patient for emergency reperfusion therapy, such as percutaneous coronary intervention (PCI) or thrombolysis, based on ECG and troponin findings.
Nursing response is been mentioned in this step.
Prediction of troponin results:
Based on the patient’s presentation and the ECG results, it is likely that the troponin results will be elevated, indicating myocardial injury or infarction. Troponin is a protein released into the blood when cardiomyocytes are damaged, and high levels are a sensitive and specific indicator of myocardial infarction.
Troponin prediction is mentioned in this step.
Based on the patient’s presentation, he most likely has acute myocardial infarction (MI), rather than stable or unstable angina pectoris. Chest pain, ST segment elevation on the ECG, and elevated troponin levels are all signs of an acute myocardial infarction. Stable angina is usually relieved with rest or medication, and unstable angina is relieved with medication but is not associated with ECG changes or elevated troponin levels.
Diagnosis is mentioned in this step.
All the four questions are been given with brief explanation and knowledge in this four steps. Nursing Care Assessment Question Discussion Paper