Mr. M. is a 50-year-old male patient who came in to the emergency… Mr. M. is

Mr. M. is a 50-year-old male patient who came in to the emergency… Mr. M. is a 50-year-old male patient who came in to the emergency department with complaints of chest pain while mowing his lawn. He is accompanied by his wife, who says that he was working in the yard and had to call for help because of his discomfort. He complains of chest pain, rated at a “7” on a 0 to 10 scale and describes it as a feeling of pressure in the center of his chest. The pain does not radiate to any other location. He has nausea that developed 2 hours ago and he vomited once. Upon exam, he is breathing rapidly and is diaphoretic and he appears anxious. Mr. M tells the nurse, “I think I am having a heart attack.” The patient has a history of hyperlipidemia, in which he takes atorvastatin, and hypertension, in which he takes nifedipine. He does not have a history of angina and has never experienced chest pain; because of this, he is concerned that he has not had any warning signals prior to this event. He started smoking cigarettes in high school and smoked about 1 pack per day for 18 years before successfully quitting. 1. How should the nurse explain the relationship between a patient’s lack of history of angina and an acute MI? 2. Describe the factors that would determine the severity of this patient’s MI.Mr. M has an ECG and has several blood tests to check cardiac enzymes, including creatine kinase, troponin, and myoglobin levels. The ECG shows an anterior wall ST elevation myocardial infarction (STEMI). 3. Explain the difference between a STEMI and a NSTEMI and how these two conditions would be treated. 4. What nursing interventions would the nurse employ first after learning of the diagnosis of a STEMI? 5. Describe the changes in cardiac enzymes that would most likely develop because this patient is having an MI. 6. Based on the fact that the patient has a STEMI as seen on ECG, would the physician wait to find out the cardiac enzyme results before providing treatment?The nurse gives Mr. M a dose of nitroglycerin and prepares him for PCI. After administration of the drug, Mr. M states that his pain level has dropped to a “3” on a 0 to 10 scale. 7. Describe how PCI would be used to manage this patient’s condition. 8. What information would the nurse give to this patient that would best teach him about what to expect when receiving PCI? 9. Explain the nurse’s role while in care of a patient undergoing PCI. Health Science Science Nursing NURS 101 Share QuestionEmailCopy link Comments (0)

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