A patient has been admitted to the hospital with deep vein thrombosis (DVT). He suddenly develops...
A patient has been admitted to the hospital with deep vein thrombosis (DVT). He suddenly develops sharp chest pain, cyanosis, and difficulty breathing. The nurse suspects he had a pulmonary embolus (PE). List five risk factors related to the development of a PE. What information should the nurse tell the patient related to his condition? Explain the pathophysiology of how this complication develops. Describe the treatment options related to the pulmonary embolus.
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A patient has been admitted to the hospital with deep vein
thrombosis (DVT). He suddenly develops...
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one...
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin. Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer. Develop 3 teaching points important for Sandra...
Case Study-Deep Vein Thrombosis Melody Smith is a 57-year old, 1 ½ pack per day (PPD)...
Case Study-Deep Vein Thrombosis Melody Smith is a 57-year old, 1 ½ pack per day (PPD) smoker. She works as a secretary in a legal office. When Melody woke this morning she noticed that she was experiencing right calf pain and some slight swelling. She also noticed that her calf was warm to the touch. Melody decided to go to her primary healthcare provider’s office for advice. Data obtained from the nursing assessment includes the following information: Vital signs: B/P...
Scenario 2: You are assigned to care for L.J., a 70-yr old retired bus driver who has just been admitted to yo...
Scenario 2: You are assigned to care for L.J., a 70-yr old retired bus driver who has just been admitted to your medical floor with right leg deep vein thrombosis (DVT). LJ. has a 48-pack-yr smoking history, although he states he quit 2 yrs ago. He has had pneumonia several times, and frequent episodes of atrial fibrillation (A-fib). He has had 2 previous episodes of DVT and was diagnosed with rheumatoid arthritis 3 yrs ago. Two months ago, he began...
Q1. A client with a chest injury has suffered a flail chest.
Q1. A client with a chest injury has suffered a flail chest. The nurse assesses the client for which most distinctive sign of flail chest?A. CyanosisB. Dyspnea, especially on exhalationC. HypotensionD. Paradoxical chest movementQ2. A 59 -year-old client with a history of deep vein thrombosis suffered a massive pulmonary embolism. Which of the following would be found in the patient?A. HypoventilationB. hyperventilationC. BradycardiaD. Chest pain on exertionQ3. The nurse instructs a client to use the pursed-lip methods of breathing and...
Deep Vein Thrombosis Patient Profile D.R. is a 74-year-old obese Hispanic woman who is in the...
Deep Vein Thrombosis Patient Profile D.R. is a 74-year-old obese Hispanic woman who is in the third postoperative day after an open reduction internal fixation (ORIF) for repair of a left femoral neck fracture after a fall at home. Subjective Data States pain in her left hip is a 4 to 5 on a 1-to-10 scale States pain in her left calf area is a 3 on a 1-to-10 scale Objective Data Physical Examination Vital signs: BP 140/68, pulse 64,...
Answer in the booklet provided. A 64-ycar-old male patient was admitted to a hospital. He complained of chronic head...
Answer in the booklet provided. A 64-ycar-old male patient was admitted to a hospital. He complained of chronic headaches that lasted for days, chest pain and shortness of breath when performing physical activity. He was coughing a pink- tinged frothy sputum. On examination he had a blood pressure of 192/122 mm Hg and pulmonary oedema The following data were obtained from the patient: Patient values Left ventricular systolic pressure (mm Hg) Left ventricular end-diastolic pressure (mm Hg) Right atrial pressure...
Name Date Patient's Chief Complaints: "I have really bad chest pain and I can't seem to...
Name Date Patient's Chief Complaints: "I have really bad chest pain and I can't seem to catch my breath. I think that I may be having a heart attack." History of Present illness: Mrs.W.A. is a 30-year-old woman who presents to the hospital emergency department following 90 minutes of chest pain. She describes the severity of her pain as "8" on a scale from 1 to 10. An hour and half ago, she developed sharp and constant right-sided chest pain...
A patient is admitted to the hospital with signs of low cardiac output. The nurse expects...
A patient is admitted to the hospital with signs of low cardiac output. The nurse expects to see which of the following upon assessment? Choose all that apply. Cool, clammy extremities A rash on the chest Wheezes in all lung fields Pallor Capillary refill of 5 seconds After teaching a patient with congestive heart failure (CHF), the nurse assesses the patient’s understanding. Which patient statements indicate a correct understanding of the teaching related to nutritional intake? Choose all that apply....
13. Which of the following medication can you give to a patient that you think is...
13. Which of the following medication can you give to a patient that you think is having a Myocardial Infarction? A) Digoxin B) Aspirin C) Dopamine D) Epinephrine 14. Which of the following is a sign of right sided heart failure? A) Peripheral Edema B) Hypercoagulability C) Cyanosis D) Pulmonary Congestion 15. Which of the following signs would be present in a patient with Peripheral Artery disease? A) Angina B) Chest Pain C) Yellow skin D) Intermittent Claudication 16. A...
5 Health care provider suspects that patient has thrombus in a heart chamber. What method can be used to confirm t...
5 Health care provider suspects that patient has thrombus in a heart chamber. What method can be used to confirm this diagnosis? A ECG B chest x-ray B auscultation and percussion D echocardiography 6 Usually, patients with acute myocardial infarction (AMI) experience chest pain. Are there any groups of people who might not having chest pain during AMI? A yes, people with pneumonia B no, all people experience pain, no matter what additional disease they might have C yes, some...
Scenario 2: You are assigned to care for L.J., a 70-yr old retired bus driver who has just been admitted to your medical floor with right leg deep vein thrombosis (DVT). LJ. has a 48-pack-yr smoking history, although he states he quit 2 yrs ago. He has had pneumonia several times, and frequent episodes of atrial fibrillation (A-fib). He has had 2 previous episodes of DVT and was diagnosed with rheumatoid arthritis 3 yrs ago. Two months ago, he began...
Answer in the booklet provided. A 64-ycar-old male patient was admitted to a hospital. He complained of chronic headaches that lasted for days, chest pain and shortness of breath when performing physical activity. He was coughing a pink- tinged frothy sputum. On examination he had a blood pressure of 192/122 mm Hg and pulmonary oedema The following data were obtained from the patient: Patient values Left ventricular systolic pressure (mm Hg) Left ventricular end-diastolic pressure (mm Hg) Right atrial pressure...
Name Date Patient's Chief Complaints: "I have really bad chest pain and I can't seem to catch my breath. I think that I may be having a heart attack." History of Present illness: Mrs.W.A. is a 30-year-old woman who presents to the hospital emergency department following 90 minutes of chest pain. She describes the severity of her pain as "8" on a scale from 1 to 10. An hour and half ago, she developed sharp and constant right-sided chest pain...
13. Which of the following medication can you give to a patient that you think is having a Myocardial Infarction? A) Digoxin B) Aspirin C) Dopamine D) Epinephrine 14. Which of the following is a sign of right sided heart failure? A) Peripheral Edema B) Hypercoagulability C) Cyanosis D) Pulmonary Congestion 15. Which of the following signs would be present in a patient with Peripheral Artery disease? A) Angina B) Chest Pain C) Yellow skin D) Intermittent Claudication 16. A...
5 Health care provider suspects that patient has thrombus in a heart chamber. What method can be used to confirm this diagnosis? A ECG B chest x-ray B auscultation and percussion D echocardiography 6 Usually, patients with acute myocardial infarction (AMI) experience chest pain. Are there any groups of people who might not having chest pain during AMI? A yes, people with pneumonia B no, all people experience pain, no matter what additional disease they might have C yes, some...
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