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Which of the following would be used to identify client's with myocardial infarction
1)Presenting symptoms when seeking care
2)Using a 12- lead ECG to determine changes
3)Getting a hand computerized tomography
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- While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapThe CBC is a blood test that can help in diagnosing a disease. If the client is suspected of having MI and the client has a CBC result at hand: 1. what is the specific type of WBC that you will look into to help r/o MI? 2. How can this help in evaluating the patient's heart condition? Explain 3. Is this a reliable test to use as an indicator for MI? ExplainWhen you conclude an EKG, what are the different components that you need to observe and confirm before you disconnect the patient? Can you explain the difference between normal, abnormal, and artifacts? What is a Holter monitor? Under what circumstances would one be ordered for a patient? How do you use a Holter monitor? Educate a patient: What you will do before, during, and after an electrocardiogram or using a Holter monitor? List 5 medical cardiac conditions or diseases that you can diagnose with an electrocardiogram or Holter monitor.
- What are the role of Electrocardiogram in diagnosis of myocardia infection? Please briefly explain at your own words.A 15 y/o boy comes to the physician for an examination prior to participating in sports. He is 198cm tall and weighs 170lbs, BMI is 20kg/m2. An early diastolic murmur is heard along the left sternal border. Physical examination shows long upper and lower extremities and long extensible fingers. Which of the following is the most likely source of this murmur? A)constricted bicuspid valve B) constricted mitral annulus C) dilated aortic root D) dilated left atrium E) Ostia defectYou are assigned to care for an 80-year-old man admitted to the hospital yesterday with acute coronary syndrome who had an emergent percutaneous coronary intervention with a stent placement. When you walk into his room, he states, “That last nurse gave me a medication I don’t think I was supposed to have. She told me it was metoprolol, but it looked different from the metoprolol I got yesterday.” You note that the patient’s heart rate is now 56 beats per minute (bpm), although the previous day it had been between 72 and 88 bpm. According to the patient’s chart, he received the prescribed dose of metoprolol 4 hours ago. The prescribed dosage of this medication was not changed; it was the same yesterday. What actions should be taken? Should this information be communicated to your supervisor? What is the care priority for the patient? What evidence supports or does not support disclosure of medication administration errors to patients? What steps would you take and in what order
- Using a cardiovascular risk assessment tool, create a fictitious patient who has three different risk factors for heart disease. Specify what those risk factors are and include relevant lab valves, blood pressure reading, and lifestyle choices. Then, describe specific actions the patient must complete to reduce those risk factors. This assignment should include at least three written portions. The first part is a description of the patient and an explanation of those three risk factors. Next, describe the evidence of those risk factors: relevant lab valves, blood pressure readings, and lifestyle choices. Finally, the last part should be an explanation of what the patient should do to reduce those risk factors. Submit this written assignment to this dropbox. You may use any cardiovascular risk assessment tool you like from the internet, just make sure you cite it in your citations. Download the RUBRICPreview the document to see how you will be scored for this assignment.You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various cardiac related disorders. One of your patients for the day is Mr. Stein, a 66 year old male with a primary diagnosis of a myocardial infarction. You enter the room to conduct your morning assessment and you find that Mr. Stein does not appear to be in a positive mood. As you begin your assessment, Mr. Stein criticizes your technique and berates you for anything you seem to do. Should you continue with your assessment? If so, could you say or do anything different to help improve the situation? How do you think receiving criticism and negative feedback may affect your job performance, if at all? Prior to beginning your assessment, could you have said or done anything that may have prevented or reduced Mr. Stein's hostility towards you?I'm doing a literature review on Hypoplastic Left Heart Syndrome. I'm trying to find the boundary conditions for the Fontan Procedure (Average Flow Rates at the Inlets and Outlets. Pressure and Power Losses)