*NURSING > STUDY GUIDE > Real Life RN Medical Surgical 3.0- myocardial infarct complications-REVIEWED BY EXPERTS 2021-GRADED (All)
Module Report Real Life RN Medical Surgical 3.0 Myocardial Infarction Complications Tutorial: Module: Reasoning Scenario Details Myocardial Infarction Complications - Use on 7/6/2020 2:51:09 PM ... Report Created on: 7/6/2020 03:44 PM EDT REP_RSIndv_ModuleReport_1_0 Page 1 of 8Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. Body Function Strong Satisfactory Improvement Needs Cardiac Output and Tissue Perfusion 90.9% 9.1% Cognition and Sensation 100% Integument 100% Oxygenation 100% Regulation and Metabolism 100% NCLEX RN Strong Satisfactory Improvement Needs RN Management of Care 100% RN Pharmacological and Parenteral Therapies 100% RN Reduction of Risk Potential 100% RN Physiological Adaptation 100% QSEN Strong Satisfactory Improvement Needs Safety 100% Patient-Centered Care 100% Evidence Based Practice 83.3% 16.7% Decision Log: Optimal Decision Scenario Mr. Davis has taken an initial dose of nitroglycerin. Question Mr. Davis has taken the first dose of nitroglycerin. Which of the following actions should be taken next? Selected Option Mrs. Davis should call 911 if her husband’s chest pain is not relieved within 5 minutes. Rationale Unresolved chest pain with the administration of nitroglycerin can indicate the client is having a myocardial infarction, so Mrs. Davis should call 911 if the pain continues. Mr. Davis should also take another dose of nitroglycerin. For unresolved chest pain, a total of three doses of nitroglycerin should be administered 5 minutes apart. Mr. Davis should also take a 325 mg dose of aspirin to inhibit platelet aggregation, which can reduce cardiac damage from the formation of a thrombus. Report Created on: 7/6/2020 03:44 PM EDT REP_RSIndv_ModuleReport_1_0 Page 2 of 8Scenario Nurse Christine reviews Mr. Davis’s a 12-lead ECG. Question Nurse Christine is reviewing Mr. Davis’ ECG strip, which was completed at 1725. Which pattern on the ECG strip is the priority finding? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) Selected Option 197,64,209,64,209,78,198,76 Rationale Mr. Davis’s ECG strip shows premature ventricular contractions (PVCs), which can indicate myocardial damage or electrolyte imbalances. Another finding, however, is a higher priority. [Show More]
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