Winningham preusser s critical thinking cases in nursing 4th edition

Teaching should be aimed at tips to improve symptoms and prevent readmission. Pain that is not relieved by one tablet may be indicative of acute myocardial infarction MI or severe coronary insufficiency. Within the hour, he spontaneously converted with medication diltiazem [Cardizem] to sick sinus syndrome with long sinus pauses that caused lightheadedness and hypotension.

What key management concepts should be taught to prevent relapse and another admission? This applies only to the arm on the same side of the body as the surgical site.

Obesity is a serious risk factor; calculate his body mass index BMI and waist-hip ratio. He has a follow-up appointment with a cardiologist in 2 weeks.

Hematoma at the incision site: Stop the activity and lie or sit down. He tells you that both his mother and father had coronary artery disease CAD.

This results in systemic vasodilation, thereby reducing preload reducing the volume of blood entering the left ventricle and afterload reducing the resistance to the left ventricular contraction in patients in HF. Place the NTG tablet under the tongue. Hospital, outpatient cardiac rehabilitation Index Words: During the week, he has also experienced increased fatigue.

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During the past week, he has had frequent episodes of mid-chest discomfort. Smoking history Blood pressure BP: What other information would you need to make certain he understands the side effects and storage of SL NTG?

Has he taken any street drugs or abused prescription medication in the past? She is ordered back on oral furosemide once her weight loss is deemed adequate to achieve a euvolemic state.

What information will you give him before he leaves the hospital?

Although he has been taking sublingual nitroglycerin SL NTG for a long time, you want to be certain he is using it correctly. One of the fl uid management goals for patients in HF is to maintain a target weight. You could tell the students that the most frequent side effect of ACE inhibitors is a persistent, nonproductive cough.

Select all that apply. Ask him to describe the sensation in his own words. The chest pain responds to nitroglycerin NTGwhich he has taken sublingually SL about 8 to 10 times over the past week.

Frequently, patients are asked to wear a sling and swath to prevent arm movement. Call if the pain is not relieved after taking one SL tablet.

The patient would experience sudden, sharp chest pain and shortness of breath.Jan 23,  · Highly regarded for its clinically relevant and thought-provoking content, Winningham's Critical Thinking Cases in Nursing, 6th Edition features case studies that cover all four clinical practice areas: medical-surgical, pediatric, OB/maternity, and psychiatric nursing.

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Harding, PhD, RN, CNE, Julie S. Snyder, MSN, RN-BC and Barbara A. Preusser, PhD, FNPc. Winningham and Preusser's critical thinking cases in nursing: medical-surgical, pediatric, maternity, and psychiatric case studies Each case in Critical Thinking Cases in Nursing, 4th Edition covers a common problem, drawn from actual clinical experiences and written by nurses who are clinical experts.

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Winningham preusser s critical thinking cases in nursing 4th edition
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