case study

[nurse nesreen]

you are dispatches to the residence of 58- year old man complaining of chest pain. he state that it feel like somebody is standing on my chest " he sates down when it started and took a nitroglycerin tablet he is still a little nauseated and sweaty but feels better. he is very anxious.

Question

How would you best manage this patient

[SoldierNurse22, BSN, RN]

How would you best manage this patient?

We need to see a good faith effort on your part tp attempt to answer the question before the AN community will spitball ideas.

Are you an actual nurse (as your name would imply) or are you a student?

[Kuriin, BSN, RN]

What do you think his problem is? Why do you think he's taking the nitroglycerin? Answering those questions should steer you in the right direction of how to take care of the patient.

[nurse nesreen]

may be angina-or MI can help you

[Esme12, ASN, BSN, RN]

double threads merged .....once again we are willing to help but we will not give you the answers.

Show me what you think first and we will help you.

[SoldierNurse22, BSN, RN]

may be angina-or MI can help you

Right, it could be either, but your job isn't to diagnose. You need to assess the patient and provide the necessary interventions. What would you do?

[nurse nesreen]

can answer how

[Esme12, ASN, BSN, RN]

You answer first....what do you think?

[nurse nesreen]

i think is angina

[Esme12, ASN, BSN, RN]

The question isn't asking for a diagnosis it is asking for nursing care.

What is the first thing you do for a patient having chest pain?

What are the questions you ask?

[nurse nda]

but the answer should be in the transportation modules

[nurseprnRN, BSN, RN]

I have no idea what the transportation modules are.

Have you learned anything about what to do for someone with angina yet? What did you learn?

Honestly, we would love to be able to help you and your classmates and maybe this is a total cultural misunderstanding, but in our culture, students have the responsibility to do some learning in their classes and in their own reading. We don't want to give you the answers because we can't tell if you have done that.

I taught students from an oriental country once; in their culture their teachers taught only by lectures, no discussions at all. Students were never, ever allowed to ask their teachers questions at all about anything because that made it look as if the teacher had not taught them properly, and the teacher would lose face, even if the teacher was a bad teacher it was the student's job to learn. I had to teach them that in this culture it was my job to see that they learned, and if they didn't learn from me it was my job to find another way to teach them until they understood, or I would lose face. But they had to ask me questions. It was hard for them but they learned and then we all did very well together.

So when you and your classmates come to AllNurses with questions like this, we want to know what you know already and where you learned it-- book, lecture, or something else. If you have questions about what you learned tell us that you learned, don't just ask us to answer your teacher's question. We will not do that. We are not your teacher's students, you are. Can you understand that?

best wishes