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    Couretask Sample

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    ej rago
    Lita, a 65-year-old retired secretary, is admitted to the hospital for chest pain caused by angina pectoris. Angina is caused by a reduced blood supply to the heart due to hardening and narrowing of the arteries from plaque buildup. Lita's chronic stable angina pain may follow a pattern of intense tightness or pressure in her chest, and may spread to her arms, neck, and shoulders. Nitroglycerin acts to relax her coronary arteries and improve blood flow to relieve her angina symptoms. When Lita's pain was not relieved by two doses of nitroglycerin, the nurse's priority is to give her a third dose and call emergency services if her pain

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    Couretask Sample

    Uploaded by

    ej rago
    69 views2 pages
    Lita, a 65-year-old retired secretary, is admitted to the hospital for chest pain caused by angina pectoris. Angina is caused by a reduced blood supply to the heart due to hardening and narrowing of the arteries from plaque buildup. Lita's chronic stable angina pain may follow a pattern of intense tightness or pressure in her chest, and may spread to her arms, neck, and shoulders. Nitroglycerin acts to relax her coronary arteries and improve blood flow to relieve her angina symptoms. When Lita's pain was not relieved by two doses of nitroglycerin, the nurse's priority is to give her a third dose and call emergency services if her pain

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    COURETASK SAMPLE

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    Lita, a 65-year-old retired secretary, is admitted to the hospital for chest pain caused by angina pectoris. Angina is caused by a reduced blood supply to the heart due to hardening and narrowing of the arteries from plaque buildup. Lita's chronic stable angina pain may follow a pattern of intense tightness or pressure in her chest, and may spread to her arms, neck, and shoulders. Nitroglycerin acts to relax her coronary arteries and improve blood flow to relieve her angina symptoms. When Lita's pain was not relieved by two doses of nitroglycerin, the nurse's priority is to give her a third dose and call emergency services if her pain

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    69 views2 pages

    Couretask Sample

    Uploaded by

    ej rago
    Lita, a 65-year-old retired secretary, is admitted to the hospital for chest pain caused by angina pectoris. Angina is caused by a reduced blood supply to the heart due to hardening and narrowing of the arteries from plaque buildup. Lita's chronic stable angina pain may follow a pattern of intense tightness or pressure in her chest, and may spread to her arms, neck, and shoulders. Nitroglycerin acts to relax her coronary arteries and improve blood flow to relieve her angina symptoms. When Lita's pain was not relieved by two doses of nitroglycerin, the nurse's priority is to give her a third dose and call emergency services if her pain

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Scenario 1: Angina PectorisLita a 65 year-old retired secretary, is

    admitted to the medical surgical area for management of chest pain


    caused by angina pectoris. (20 points)

    1. The patient asked the nurse “What is causing this pain?” What is the
    best response by the nurse?
    Whenever the heart does not receive enough blood, you get an angina
    attack. To perform well, one has to have a healthy heart, and to have a
    healthy heart, it is imperative to stay emotionally calm and relaxed. The
    hardening of the arteries prevents the heart from obtaining sufficient
    oxygen. Narrowing and hardening of the arteries occurs through a build-
    up of plaque (composed of fat, collagen, other compounds, and
    cholesterol) in the vessel walls. Because of this, they will even obstruct
    the blood supply to the heart and reduce the distribution of oxygenated
    blood.
    2. The patient is diagnosed with chronic stable angina. The nurse can
    anticipate that her pain may follow what type of pattern?More
    frequently, the pain in the middle of a stable angina is characterized as
    intense, constricting, or as a tightness in the chest. It may feel like a vice
    around the ribcage or like a tremendous burden on the chest. Another
    possible effect is that this discomfort can travel down your chest and
    arms and through your neck and shoulders.
    3. Lita has nitroglycerin at her bed side to take PRN. The nurse knows
    that nitroglycerin acts in what ways?Nitroglycerin assists in the relaxing
    of coronary blood arteries. This improves oxygen pressure into blood
    arteries and alleviates angina symptoms.
    4.Lita took a nitroglycerin tablet at 10:00 AM, after her morning care. It
    did not relieve her pain, so 5 minutes later, she repeated the dose. 10
    minutes later, and still in pain, she calls the nurse. What is the priority
    intervention of the nurse?
    Give 1 dose of nitroglycerin immediately at the onset of an angina
    attack. If the symptoms get a little better after the first dose but do not
    go away completely, a second dose may be taken 5 minutes later as
    advised by physician. Give a third dose 5 minutes after the second dose.
    It is important to note that it is needed to use more than 3 doses in a 15-
    minute period

    Emergency services should be summoned if any of the following


    occurs:
     Symptoms do not improve substantially within 5 minutes or if they
    worsen after the first dose.
     Symptoms do not continue to get better after the second dose.
     Chest pain/discomfort does not go away completely 5 minutes after
    taking the third dose.
     Symptoms of an overdose may include headache, confusion,
    dizziness, slow or poundingheartbeat, nausea, vomiting, fainting,
    shortness of breath, sweating, flushing, cold and clammy skin, loss of
    ability to move the body, loss of consciousness for a period of time,
    or seizures.

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