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Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
Edition 5ISBN: 978-0803640689Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
Edition 5ISBN: 978-0803640689 Exercise 1
Mae
Mrs. Mae, age 70, is 5 days post-MI without complications. You assist her back to bed at 1400 hours after she ambulates. Her oxygen is on at 2 L/min via nasal cannula. Her vital signs are BP 126/78 mm Hg, apical pulse 82 bpm, R 18 per minute. She has no pain and says she feels good after walking. The cardiac monitor shows normal sinus rhythm. Five minutes later, you see that the monitor shows sinus rhythm with PVCs of less than six per minute. Her vital signs are now BP 132/84 mm Hg, apical pulse 92 bpm, irregular, and R 22 per minute. She reports no pain but says, "I can feel my heart skipping. It takes my breath away." You call the registered nurse (RN) while staying with the patient to provide reassurance.
1. What should you do first?
2. What should you do regarding the dysrhythmia?
3. What might be some of the causes for this dysrhythmia?
4. What symptoms, if any, would you expect to be present?
5. What would you do if symptoms were present?
6. With which health care team members might you collaborate?
7. What type of orders would you anticipate from the HCP?
8. How would you document your findings?
Mrs. Mae, age 70, is 5 days post-MI without complications. You assist her back to bed at 1400 hours after she ambulates. Her oxygen is on at 2 L/min via nasal cannula. Her vital signs are BP 126/78 mm Hg, apical pulse 82 bpm, R 18 per minute. She has no pain and says she feels good after walking. The cardiac monitor shows normal sinus rhythm. Five minutes later, you see that the monitor shows sinus rhythm with PVCs of less than six per minute. Her vital signs are now BP 132/84 mm Hg, apical pulse 92 bpm, irregular, and R 22 per minute. She reports no pain but says, "I can feel my heart skipping. It takes my breath away." You call the registered nurse (RN) while staying with the patient to provide reassurance.
1. What should you do first?
2. What should you do regarding the dysrhythmia?
3. What might be some of the causes for this dysrhythmia?
4. What symptoms, if any, would you expect to be present?
5. What would you do if symptoms were present?
6. With which health care team members might you collaborate?
7. What type of orders would you anticipate from the HCP?
8. How would you document your findings?
Explanation
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1. The following steps should be taken f...
Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
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