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NR 305 Week 4 (LATEST GRADED A)
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NR 305 Week 4 (LATEST GRADED A)/NR 305 Week 4 (LATEST GRADED A)/NR 305 Week 4 (LATEST GRADED A)
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NR 305 Week 4Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy.
During morning rounds, the off-going nurse shares with you during bedside report that the patient has
been experiencing increased discomfort in her back throughout the night and has required frequent help
with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is
voicing little relief and states that you might want to mention that to the doctor when he rounds later
this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient's
room for report.
Approximately 1 hour later, you return to Ms. Jackson's room with her morning pills and find her
slumped over the bedside stand in tears. The patient states, "I don't know what is wrong, I don't feel
right. My back hurts and I'm just so tired. What is wrong with me?" The patient refuses to take her
medications at this time stating that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient's room to record Ms. Jackson's vital signs, you take
this opportunity to quickly research the patient's medication record to determine if she has a medication
ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18,
and BP 132/54, but states she couldn't get the patient's pulse because "it is all over the place."
Please address the following questions related to the scenario.
1. What do you suspect is the cause of the patient's symptoms?
2. Describe the course of action that you will take to confirm this suspicion and prevent further
decline. Get an order for EKG, blood tests
3. What further assessments, lab values, and tests will likely be ordered for this patient and how
often? If testing is to be completed more than once, please explain the rationale for doing so.
Even if your EKG is normal, more testing is necessary
4. While you are caring for this patient, how will you ensure that the needs of your other patients
are being met?
Post one posted
Professor and Class,
Based on the clinical presentation of Mr. J., I believe that she has a myocardial infarction.
, Mr. J. is complaining of unrelieved back pain, nausea, extreme fatigue, her heart rate is all over
the place, she is hypertensive and one-day post-op. Often, women do not experience the typical
symptoms of a heart attack like chest pain. Fatigue is often the first symptom of acute coronary
syndrome in women (Lewis, Heitkemper, & Dirksen, 2011). BP and HR are elevated at the
beginning of the MI and then can drop when the cardiac output decreases.
According to Women’s Heart Foundation, heart disease symptoms may be milder for
women and stress is a significant risk factor for a cardiovascular disease. Also, once a woman
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