Case Study Answers

  1. Read the case study, answer the questions, and determine the two most appropriate nursing diagnosis for this patient.
    A 59 year old black female is admitted at midnight with a diagnosis of Chest Pain. She complains of a squeezing type pain across her chest and into her left jaw area. Vital signs are: Blood Pressure-200/110; Pulse-128 beats per minute; Respirations- 26 per minute; Temperature-99.8; Saturation of Oxygen-86% on room air; pain level 9/10. During your initial assessment she is rubbing her mid-chest, grimacing and is diaphoretic. The pain has been occurring intermittently throughout the evening and night. Her color is pale except around her lips which are bluish. Cardiac auscultation reveals a rapid regular rhythm and a murmur, no pulse deficit. She has never had this pain before. Lungs sounds are crackles in both bases with clear upper lobes. She is afraid she is going to die. Per standing orders, a nurse administers & administers Nitroglycerine 0.4mg sublingually; applies cardiac electrodes for continuous cardiac monitoring; obtains an electrocardiogram; places a peripheral intravenous catheter with saline lock; positions patient in low Fowlers. On assessment vital signs are Blood Pressure-180/95; Pulse-108 beats per minute; Respirations- 22 per minute; Temperature-99.0; Saturation of Oxygen-90% on 2 liters per minute; Pain level 8/10. She says her chest pain hasn't changed. Heart and lung sounds are unchanged. Color is pale without previous blue changes.

    Is the type of pain this patient is having typical or atypical of cardiac type of chest pain.

    What other types of pain would indicate a cardiac type problem but would not be specifically in the chest area?

    Describe how women often present with cardiac problems and how they are different from men.

    What health history information would the nurse assess after the patient's pain is gone.

    What abnormals are present in the patient's vitals signs (first set)?

    What labs would be drawn for this pa
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    Joined: Sep '18; Posts: 1


  3. by   JadedCPN
    This may be the boldest homework post I've seen yet - didn't even give the courtesy of asking for our help!

    What are your thoughts on this case study?
  4. by   JKL33
    I'd want to know what the EKG looked like.
  5. by   AnnieNP
    What do you think?
  6. by   traumaRUs
    Moved to nursing student assistance forum.

    While our members are very generous with helping students, we do ask that you provide what you have so far...thanks.
  7. by   nursej22
  8. by   meanmaryjean
    Oh for Pete's sake! Do your instructors know you copied your homework on the internet expecting others to do it for you? Don't think for a minute they could not find out.
  9. by   Kallie3006