Describe the components of a thorough ACS assessment, including what to look for during the physical examination and interpretation of vital signs.
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g., chest pain, shortness of breath). - Inquire about risk factors such as age, gender, family history, smoking status, hypertension, diabetes, and hyperlipidemia. - Ask about any previous cardiac events or interventions. Show more…
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client is awake and alert x4. The client rates her pain at a 5 on a 0 to 10 scale. Heart sounds are clear, and bilateral lungs sounds are coarse. Bowel sounds are hypoactive in all four quadrants. The client has three small incisions on her abdomen that are dressed, dry, and intact. There is a large amount of ecchymosis spread across the client's abdomen. There are various superficial abrasion on the client's face, arms, and legs. There is a small laceration on the bridge of the client's nose with several sutures; it is dry and intact. The client becomes emotional during the assessment and states, "I don't know if I'll ever be able to ride in a care again, this has been so terrifying." The client is struggling with ambulating as well as using her incentive spirometer due to increased pain with activity. Current vital signs are a temperature of 36.9° C (98.4° F), pulse 91/min, respirations 18/min, blood pressure 164/58 mm Hg, and oxygen saturation of 97% on 2L NC. Which of the following concerns should the nurse address while providing client care? (Select all that
Breanna O.
How does the nurse assess core patient variables?
Assignment 1 - Textbook 15 points Would the pain that the patient is experiencing because of her headaches have an influence on her vital signs? Assignment 1 Grading Rubric 15 Points - Explained how pain can affect vital signs: 4 Points - Provided the normal values for vital signs for this age: 4 Points - Provided an explanation from the medical assistant to the patient when asked if the vital signs are normal: 4 points - No grammar or spelling errors: 3 points Assignment 2 - Case Scenario 15 points A regular patient of your clinic arrives at the reception desk in the waiting room requesting to see the physician; however, he does not have an appointment. He appears to be very short of breath and is leaning on the reception counter. He has a lot of sweat on his face and states that his chest feels tight. The receptionist calls you from the back office to assist with this patient. What should you do immediately to assist this patient? What procedures would you perform once you have the patient in an exam room? When would you notify the physician of the patient's condition? What would you tell the physician? Assignment 2 Grading Rubric 15 Points - Explained why this scenario constitutes a critical situation and the course of action that should be taken by the medical assistant: 4 Points - Included the discussion that the medical assistant should have with the physician prior to seeing the patient: 4 points - Included anticipated abnormal vital signs associated with this patient: 4 points
Madhur L.
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