Question

Dayna Quinn, 53 years of age, is a female client who is admitted to the Emergency Department via ambulance with acute onset of midsternal chest pain radiating down the left arm and radiating up the left side of the neck. The client complains of dyspnea and is cool, pale, and sweating. The vital signs include: Blood Pressure 163/92, Heart Rate 112 bpm, Respiratory Rate 26 breaths/min; and temperature of 99.2 degrees F. The 12-Lead ECG reveals an anterior wall ST-Elevation myocardial infarction (STEMI).

1.When the 12 Lead ECG is completed where would the nurse place the V1 electrode?2.What lab tests were used to confirm the client had a STEMI in addition to the ECG? Give the name of the test and the normal levels.

3.Your client has a total cholesterol level of 396. The client has LDL of 175 and HDLs of 26. Explain what this means and how you will educate them to start changing their behaviors.

4.The physician has scheduled the client for cardiac catheterization, why is this an appropriate test for Ms. Quinn?

5.Would a client need to sign an informed consent for cardiac catheterization? Why or why not? What is the nurse’s role in obtaining informed consent?

6.The client asks you, “Do I have Atherosclerosis or Arteriosclerosis?” Explain your answer.

7.The cardiac catheterization results show the client has triple vessel disease. What will be next in the client’s treatment?

8.The client is being discharged to a rehabilitation center. If you are a nurse in the rehabilitation center what body system is most important to monitor after the client’s procedure completed in Question 7?

Answer 1

1. V1 is placed to the right of the sternal border. serum troponin is an exquisitely sensitive marker of myocardial injury and is necessary for establishing the diagnosis of MI.Normal (hs Troponin T < 14ng/l) A result of <14ng/L more than 6 hours after symptoms rules out MI. Possible MI (hs Troponin T 14-30 ng/l) The laboratory will phone abnormal results to the referring doctor or their deputy as a matter of urgency

3. Means patient have hyperlippedimia and artherosclerosis. So ask him to avoid food containg Saturated fatty acids and increase green vegitables. exersize is needed daily initially mild and later the grade to be increased

4. Because patient have MI and we have to diagnose site of block

Cardiac catheterization is a procedure used to diagnose and treat certain cardiovascular conditions. During cardiac catheterization, a long thin tube called a catheter is inserted in an artery or vein in your groin, neck or arm and threaded through your blood vessels to your heart.

Using this catheter, doctors can then do diagnostic tests as part of a cardiac catheterization. Some heart disease treatments, such as coronary angioplasty and coronary stenting, also are done using cardiac catheterization

5. Yes. Nurse have to explain the procedure, possible compliclations and outcomes and get the conscent signed

6. Yes. The cholesterol level is high and there is fat deposision in your arteries which has resulted in blockage and ischemia.

7. Clint has to undergo angioplasty

8.cardiac