A 59-year-old African American 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. Although she cannot remember exactly when the pain began, she does remember having indigestion and being nauseas after dinner the night before, around 7:30 p.m. 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. 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 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 one hour later, 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. EKG displays ST elevation in leads II, III, and AVF. The MD has decided not to perform a cardiac catherization, and has admitted the patient to the ICU with a cardiology consult.

Required:
a. Is the type of pain this patient is having typical or atypical of cardiac type of chest pain?
b. What other types of pain would indicate a cardiac type problem but would not be specifically in the chest area?
c. Describe how women often present with cardiac problems and how they are different from men.
d. What health history information would the nurse assess for this patient?
e. What abnormals are present in the patient's vital signs (first set)?

Answers

Answer 1
the answer is C because she’s sick

Related Questions

Name one award that the Phoenix suns received.

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Lanée Javet
I think tell me if I am wrong
Btw I got it from a article

Uhhh complement her ig...I mean does she like you?

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Answer:

just need points

Explanation:

Which precaution should you take when cooking meat?
A.
covering the meat with waxed paper before cooking it
B.
moving the meat once it is placed in the pan
C.
keeping the meat in a refrigerator before cooking it.
D.
pounding the meat with a mallet before cooking it.

Answers

Answer:

C.

Explanation:

Leaving meat out before cooking can introduce harmful pathogens, which, can be fatal, in some cases.

Answer:

the answer is B.

Explanation:

I just took the test

Ballistic stretching is BEST performed
A.
before intense workouts
B.
after a thorough warm-up
C.
weekly
D.
never
Please select the best answer from the choices provided.
B

Answers

Answer: The answer is  D. NEVER

Never, ballistic stretching is a bouncing stretch which is bad for your muscles and joints. You want to use a Static stretch. Where you hold the stretch to tolerance for approximately 30 seconds. Stretching Should not be painful.


Need help fast!
Michael is the fastest swimmer on his swim team. He wants to get some extra practice time in so that his flip turns are even quicker than they are now. He enters the pool 15
minutes before everyone else arrives to work on his technique. Based on the information provided, which safety procedure is Michael forgetting to follow by practicing his flip
turns during this scenario? (2 points)
O Check the weather forecast prior to swimming
O Don't dive in shallow water
Know your swimming ability
O Never swim alone

Answers

Never swim alone is the correct answer

Answer: Never swim alone.

Explanation: Proof of validity is shown below.

——— and ——— are skills the goalie uses to send the ball back into play

Answers

Answer:

Once the ball is back into play, the goalkeeper may not touch it with his hands (or arms) until another player has touched the ball; however, he can play it at any time with his foot, etc. The goalkeeper must not delay putting the ball into play after control is established.

What is the best hip stretch?

Answers

Answer:

butterfly sit

Explanation:

sit down, put the bottom of your feet together and try and let your knees touch the floor- try not to hurt yourself tho

What is a kick taken by the offensive team when the defense kicks the ball out over the end line called?

Answers

Answer: It is called a Goal Kick

What does BAC measure?
A. The amount of alcohol in 5ounce drink.
B. The amount of alcohol in ones blood.
C. The amount of alcohol in ones liver.
D. The amount of alcohol brain.

Answers

Answer:

answer is B

Explanation:

Choose a sport that you have played or a sport that interests you. Write 1 paragraph summarizing the health and fitness benefits yielded from that sport.

Answers

Answer:

this is for you we can't answer it becuase it is asking you personaly

Explanation:

In what way are recycling and reducing consumption alike?
A. They are both costly to do.
B. They are both attempts to preserve the environment.
C. They are both harmful to natural resources.
D. They are both practiced by everyone around the world.

Answers

Answer:

The answer is B.

By recycling, you're reusing, and by reducing consumption, you use less. Both mean less waste dumped into the environment

Answer:

B. They are both attempts to preserve the environment

Explanation:

just got it right

PLEASE HELPPPPPPP!!!!!!!!!

Answers

The correct one is B. Social categorization

Explanation

Social categorization is a psychological term that refers to the process that allows a person to classify other people into groups based on the characteristics that sex, age, nationality, profession, tastes, or preferences, among others, have in common. This term establishes that the association of others with certain groups is a simpler way of perceiving social reality. Therefore, Raphael was doing a process of social categorization because he established that the woman was a university administrator and the man with glasses was a professor. So the correct answer is B. Social categorization.

Why is hypnosis an option? Is hypnosis a trustworthy option?​

Answers

Hypnosis can be used to help gain control over undesired behaviors or to help you cope better with anxiety or pain.

3. List 5 types of depressants and the impact they have on the body​

Answers

Answer:

1. Alcohol-central nervous system depressant

2.Barbiturates-treat seizures, medical sedative

3.Benzodiazepines-induce sleep, relieve anxiety

4.Opioids(narcotics)-slow and speed up certain parts of your brain functions

-----------------------------------------------------------------------------------------------------------------

Oxycodone-semisynthetic opioid

Ketamine-anesthetic

Codine-narcotic

Heroin-narcotic

clinic information system topic

Answers

umm where is the question, that’s a statement

How is Bipolar Disorder treated?

Answers

Answer:

pill's? therapy?

Explanation:

Please help! Fill in the blank.

Answers

Kidney transplant? If not I am sorry

Anyone know how to make sum quick casssshhhhh????

Answers

Explanation:

Sell your gently used clothes. ...

Trade in old phones, electronics for cash. ...

Drive for Uber, Lyft. ...

Make deliveries for Amazon, Uber Eats. ...

Become a dog walker or dog sitter. ...

Get a babysitting gig. ...

Find work as a housesitter. ...

Sell unused gift cards.

14. Which of the following is not one of the planes and sections of body orientation
O A. Sagittal
O B. Coronal
O C. Crural
O D. Transverse

Answers

Answer:

C. Crural

Explanation:

Answer:

C.

Explanation:

I have personally never heard of this section/plane in any of my health classes so it must be that one

Identify the challenges of communicating through electronic media?​

Answers

Answer:

1.) You might run out of space

2.) Miscommunication

3.) Lack of stimulation

Explanation:

1.) Running out of space on apps such as discord, Twitter, or other social media apps is common. Even texting can send your messages out of the order that you sent them off you have too much to say!

2.) Typos are a common occurrence when using electronic media. Broken keyboards, autocorrect, and just bad typing skills could prove difficult to understand. On top of it, putting your thoughts into words is hard for many. “Why not just call someone?” You may ask. Many suffer from anxiety about calling those over the phone, bad phone services may result in miss hearing parts of a conversation, and some may not have the minute time to do so.

3.) Using electronic media for communication comes easy to some but is hard for others. This may be called being “dry”. Some people can be very interesting in person but struggle to express this abundance of character over specific devices.

Implementation allows you to:
OA.
OB.
OC.
Assess a problem
Recognize a problem
Speak to parents about a problem
Observe a problem
Work to correct a problem
OD
OE.

Answers

It’s either Recognized a problem or Observe a problem

The idea of a competing commitment is something holding me back from my best life.

A. True
B. False

Answers

Answer:

IS TRUE

Explanation:

In an average adult male, muscle makes
up __
of body weight.
25%
39%
42%
66%

Answers

Answer:

25 percent is the correct answer

Emrick is exercising extremely hard, and his cells are working hard to keep up. Eventually, what will happen to his ability to produce energy?
A lack of oxygen will induce fermentation.
A lack of oxygen will halt glycolysis.
A lack of muscle control will induce fermentation.
A lack of muscle control will halt glycolysis.

Answers

Answer:

I think that, a lack of Oxygen will halt glycolysis. I don't know if that's right hopefully it is.

Explanation:

Playing basketball is considered a
exercise.
O muscular
flexibility
O cardiovascular

Answers

Answer:

O cardiovascular

Step-by-step explanation:

Simply put, it improves cardiovascular fitness.

Hope I helped!

Answer is O cardiovascular

pulse rate is answer this question in your words

Answers

Answer:

60–100 beats per minute

Explanation:

Im a bit confused with this question but the avrage pulse rate for a human is 60–100 beats per minute. If suffering with any heart related diese your pulse may be higher.

Hope this helped!

Which of the following can be done to help meet the intellectual needs of a toddler?

Practicing letters and numbers

Playing with older children

Eating two meals a day

Walking for exercise

Answers

The Answer is A

Step by step: Letters and numbers are bases of intellect

Select the correct answer.
Which substance in the stomach breaks down the proteins?
ОА.
bile
OB. gastric acid
OC. peptide
OD.
pepsin
O E.
saliva

Answers

Answer:

pepsin

Explanation:

Once a protein source reaches your stomach, hydrochloric acid and enzymes called proteases break it down into smaller chains of amino acids. Amino acids are joined together by peptides, which are broken by proteases. From your stomach, these smaller chains of amino acids move into your small intestine.

Why would eardrum affect one's ability to hear?

Answers

Answer:

When the eardrum is damaged, the sound cannot be transmitted to the internal structures of the ear which makes you cannot hear

The auditory cortex in the brain receives the signals, then translates them into varying sounds. If the eardrum is ruptured, it can disrupt the eardrum's capacity to vibrate properly. If this happens, then one's hearing can become diminished or muffled.

Question 8 of 10
Isaac is using a drug that can be helpful to people who need it, but is harming
his body. His motivation is to gain muscle for a sports team he wants to join
Which drug is Isaac most likely abusing?
A Tobacco
B. Performance enhancing drugs
C. Alcohol
D. Over the counter drugs
Please I need help with this one I think it’s performance-enhancing drugs

Answers

Answer:

the answer's B. performance enchanting drugs

Explanation:

-

B. Performance enhancing drugs

because that’s the only answer that makes sense
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