R.K., is an 85 year-old woman who lives with her husband, who is 87.

Question R.K., is an 85 year-old woman who lives with her husband, who is 87.Two nights before her admission to your cardiac unit, she awoke with heavy substernal pressure accompanied by epigastric distress. The pain was reduced somewhat when she rolled onto her side but did not completely subside for about 6 hours. The next night, she experienced the same chest pressure. The following morning, R.K.’s husband took her to the physician, and she was subsequently hospitalized to rule out myocardial infarction (MI). Labs were drawn in the emergency department. She was started on O2 at 2L via nasal cannula and given nonenteric-coated aspirin 325 mg to be chewed and swallowed. An IV was started.You obtain the following information from you history and physical examination: R.K. has no history of smoking or alcohol use, and she has been in good general health, with the exception of osteoarthritis of her hands and knees and some osteoarthritis of her spine. Her only medications are Zocor, Ibuprofen as needed for bone and joint pain, and “herbs”. Her admission vital signs are 132/84, 88, 18, and 99.0 F. Her weight is 114 lb and height is 5 ft, 4 in. Moderate edema of both ankles is present, but capillary refill is brisk, and peripheral pulses are 1+. You hear a soft systolic murmur. She denies any discomfort at present.She is diagnosed with cardiac ischemia and angina pain. R.K. is given a prescription for Nitroglycerin tablets to be used when chest pain occurs.Students should read the following case studies before class and complete the following during class as an activity:1) Identify Subjective and objective data2) Identify Priority Concept Problem3) Determine Patient goal related to priority problem4) List desired positive outcomes5) Determine two priority problems related to concept problem.6) Identify two interrelated concepts that present a need for interventions7) List three potential interventions for the concept problems chosen for #5 & 68) Add complications to watch for under negative outcomes (do not have to fill each gray box); identify at least two. Health Science Science Nursing NURSING 1204 Share QuestionEmailCopy link Comments (0)