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: $T$ 37.3-P 110 (regula)- RR 26 BP $160/100,02$ 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 $10\mathrm{s}$ Bi), works as a traveing salesperson. Current Home Medications: – EC ASA $325\mathrm{mg}$ PO daily – Nitroglycerin spray 0.4mg SL q 5 min $x3$ doses prn – Metoproiol $50\mathrm{mg}$ PO BID – Lovastatin $20\mathrm{mg}$ PO dally Choose four prionity nursing assessment questions to ask this patient. $-14$ 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