Yes, this is technically homework help- but it's not for a grade it's for CEUs... which I actually don't need.
I am a jobless new grad RN in California taking an emergency nursing certificate class to pad my resume and stimulate my brain. I would really appreciate help on the following assignment- I have already answered most of the questions, but I am think my responses might be overdramatic... not sure.
I would really appreciate and feedback/help. Here's the assignment and my rough-draft answers....
A 33 year old man presented in the ED with complaints of a 2 hour history of mild mid-chest discomfort (3/10) when he coughs and has bilateral hand pain. He is a guitarist, has been playing a lot recently and wonders if that has anything to do with his complaints. He denies medical problems, is a vegetarian and appears to be in no distress.
BP 120/70 HR. 74 RR 22 O2 Sat 98% Temp: 98.6 Oral
Note: I know that you want more information on this patient but this is all you can obtain for now!
What category would you give this patient & why? (Emergent-Urgent-NonUrgent)
I would categorize him as emergent because he is complaining of chest pain. Until life-threatening causes are ruled out I will anticipate the worse case scenario. Heart problems can present very atypically and I would rather be safe than sorry.
Where would you place him after triage is completed & why? (waiting room, monitored bed, non-monitored bed)
I would place the patient in a monitored bed because I would want to keep track of his rhythm.
What do you anticipate doing for him once he is in a bed/room? (tests, any nursing actions)
ECG, drug screen, Troponin, D-Dimer, CXR, electrolytes
What do you think his medical problem is ?