Focused Exam: Chest Pain Results | Turned In
Clinical Nursing I - Spring 2021, NUR 1211
Return to Assignment (/assignments/423158/)
Care Plan : 10.5 of 11.5 (91.3%)
Nursing Diagnoses: Definitions & Classifications 20
...
Focused Exam: Chest Pain Results | Turned In
Clinical Nursing I - Spring 2021, NUR 1211
Return to Assignment (/assignments/423158/)
Care Plan : 10.5 of 11.5 (91.3%)
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publishe
Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medica
Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NAN
International. Direct inquires to
[email protected]. Link for more information: http://www.nanda.org/.
Status
Student Response Model Answer Explanation Points Earne
exhibits exhibits The correct status for the nursing
diagnosis is "exhibits," because Mr.
Foster's condition is not a risk, but
rather is actually present.
0.5 out of 0.5
Diagnosis
Student Response Model Answer Explanation Points Earne
deficient knowledge deficient knowledge Mr. Foster has reported his pain is a
0/10; his current healthcare needs are
for education on relevant topics.
0.5 out of 0.5
Etiologies
Student Response Model Answer Explanation Points Earne
insufficient knowledge of cardiac
disease process
insufficient knowledge of cardiac
disease process
Any patient who has undergone a
procedure needs teaching on proper
recovery methods; in addition, in your
assessment, Brian exhibited a lack of
understanding about contributors to
cardiac diseases.
0.5 out of 0.5
Your Results Reopen (/assignment_attempts/9498365/reopen
Lab Pass (/assignment_attempts/9498365/lab_pass.p
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Care Plan
Nursing Diagnosis 2.5 out of 3
Support
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insufficient knowledge of resources for
cardiac procedure recovery
insufficient knowledge of resources for
cardiac procedure recovery
Any patient who has undergone a
procedure needs teaching on proper
recovery methods; in addition, in your
assessment, Brian exhibited a lack of
understanding about contributors to
cardiac diseases.
0.5 out of 0.5
Signs & Symptoms
Student Response Model Answer Explanation Points Earne
sedentary lifestyle prior to
hospitalization
sedentary lifestyle prior to
hospitalization
Brian's stent was just placed, indicating
a need for recovery instructions. In
addition, his lifestyle is sedentary and
his diet isn't cardiac-friendly, and so he
has room to learn about the link
between heart health and diet &
exercise.
0.5 out of 0.5
previous pain character (tight and
uncomfortable)
new placement of cardiac stent Brian's stent was just placed, indicating
a need for recovery instructions. In
addition, his lifestyle is sedentary and
his diet isn't cardiac-friendly, and so he
has room to learn about the link
between heart health and diet &
exercise.
0 out of 0.5
previous pain rating: 6/10 not currently on cardiac diet Brian's stent was just placed, indicating
a need for recovery instructions. In
addition, his lifestyle is sedentary and
his diet isn't cardiac-friendly, and so he
has room to learn about the link
between heart health and diet &
exercise.
0 out of 0.5
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
How can a patient's knowledge
of their health risks affect their
health?
A patient's knowledge of their
health risks can have a positive
impact on their health. By having
knowledge of their risk factors
they can adapt to a healthier
lifestyle, increase their physical
activity, and avoid unhealthy
behaviors to reduce their risk.
A patient's understanding of their
health risks can lead them to be
wary of warning signs, practice
appropriate health habits, and
know when to reach out to
medical professionals for help.
Your role as a healthcare
provider is not limited to physic
and medical interventions;
knowing why and how to educa
your patients is a crucial part of
impacting their health.
Short-Term Goal
Student Response Model Answer Explanation Points Earne
Self Assessment
Planning 5.5 out of 5
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To have patient verbalize and agree to
their post-stent care and heart-healthy
lifestyle instructions, by end of
hospitalization.
To have patient verbalize and agree to
their post-stent care and heart-healthy
lifestyle instructions, by end of
hospitalization.
Having a patient verbalize their
instructions lets you check for things
they might have missed. In addition, if
a patient doesn't consent to their
instructions, further persuasion should
be made.
0.5 out of 0.5
Interventions
Student Response Model Answer Explanation Points Earne
Inform patient that his provider will be
in soon to discuss post-operative
medication
Inform patient that his provider will be
in soon to discuss post-operative
medication
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient that if chest pain
develops, he should alert staff
immediately
Instruct patient that if chest pain
develops, he should alert staff
immediately
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient to begin exercise
regimen: low-impact walking, 15-20
minutes, 3 times a week, and increase
intensity and frequency as tolerated
Instruct patient to begin exercise
regimen: low-impact walking, 15-20
minutes, 3 times a week, and increase
intensity and frequency as tolerated
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient to begin exercise
regimen after a week
Instruct patient to begin exercise
regimen after a week
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient to begin cardiac diet,
including reduction of salt and red meat
intake
Instruct patient to begin cardiac diet,
including reduction of salt and red meat
intake
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
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Instruct patient to begin cardiac diet
immediately
Instruct patient to begin cardiac diet
immediately
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient to monitor stent site for
signs of bleeding
Instruct patient to monitor stent site for
signs of bleeding
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Instruct patient to monitor stent site for
signs of infection: redness, swelling,
warmth, drainage
Instruct patient to monitor stent site for
signs of infection: redness, swelling,
warmth, drainage
These interventions teach Brian
appropriate stent-site monitoring and
heart-healthy diet & exercise tips.
Timing is appropriate in interventions;
chest pain, especially after a procedure
that should mitigate it, should be
reported to a provider immediately.
Similarly, while Brian can begin his diet
anytime, beginning a new exercise
regimen right after his surgery
increases his risk of injury.
0.5 out of 0.5
Intervention Rationale
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
Prompt Student Response Model Answer Explanation
In 1 or 2 sentences, explain how
your selected interventions work
to accomplish your goal.
The selected interventions will
provide information on the
patients disease process
including risk factors and reduce
the patient's anxiety. The
interventions selected will assist
the patient in assuming
responsibility for his care and will
be able to recognize signs and
symptoms that may require
immediate attention.
These interventions help Brian
stay alert for problems in his
stent-site healing, so that he
knows when to contact his
provider. Brian also receives
teaching on concrete ways to diet
and exercise for his
cardiovascular health, while
ensuring he makes his changes
at an appropriate time during his
surgery recovery.
It is important to give a patient
the tools they need to stay
healthy in the short-term
(monitoring their surgical site)
and in the long-term (building
habits that stave off
cardiovascular disease).
Data Collections
Student Response Model Answer Explanation Points Earne
Ask patient to agree to and verbalize
his instructions for diet and exercise
Ask patient to agree to and verbalize
his instructions for diet and exercise
After all patient instructions have been
made, make sure your patient agrees
as well as can verbalize them back,
letting you spot any details they've
missed.
0.5 out of 0.5
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Ask patient to agree to and verbalize
his stent-related care instructions