A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease.



1. What does the ED physician suspect is causing the patient’s symptoms?



2. What tests should the ED physician order?



3. Will surgical intervention be necessary, and if so, what procedure?



4. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?

Answer:

Explanation:

1) The ED physician would most likely suspect that the patient is having a Myocardial infarction.

2) With all of the details provided the physician should order the following tests to be done on the patient in order to locate affected areas, abnormalities, blood type, clots, etc.

EKG , Cardiac catheterization, Blood Type and cross match, Coagulation studies, CBC, and a Full chemistry profile

3) Surgical intervention depends on whether or not the EKG scans come back clean or not if they do not then surgical intervention may be necessary in order to save the patients life. This would be accomplished with a procedure known as Percutaneous coronary intervention

4) Sometimes before attempting surgery an Interventional cardiologists may decide to perform a balloon angioplasty procedure. This basically involves the physician passing a tube through your clotted blood vessel in order to open it and maintain it open.

A deep seated sense of meaning and purpose in life

A nurse is caring for a client who is start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments

A state of well being or total health

31. Women can handle more alcohol than men due to their weight and structure
TRUE FALSE

32. Alcohol narrows your blood vessels
TRUE FALSE

33. People can develop a tolerance to nicotine, marijuana, and alcohol.
TRUE FALSE

what is the importance of having a healthy diet and lifestyle​

Mrs. Jones is walking towards you. You are looking at her from a
(an) -- view
O Proximal
O Anterior
O Dorsal
O Posterior

What bones and joints are used when kicking a soccer ball?

Need help Please Brainly to the first person right with reason and 5 Stars

True or False
1 Only few people are now engaged in planting and propagating trees and
fruit-beanng trees
2. Trees give food likes fruits, vegetables, nuts and sugar
3. Trees grow with oxygen and carbon dioxide.
4. Ecological balance does not allow every living thing in nature to survive for
as long as we take care each other,
5. Construction materials like lumber, plywood and board came from trees.
6. Containerized garden needs a small space in your backyard
7. Fruit-bearing trees can be planted without considering the climate in your
community
8. Planung and propagating trees help the economy of the country,
9. Organic fertilizers are made of cement, steel and etc.
10. Trees needs sunlight.​

CAN yall STOPm ASKING if I SMELL ... DAM! <<<

spoilage bacteria can be identified easiest by

The frontal and parietal lobes can be found in the

A) Cerebrum
B) Cerebellum
C) Midbrain
D) Pons

What makes you stressed?

A person who educates and helps a woman with breastfeeding is called a

Emily bought some ground beef for the evening meal. When she was invited to go out to eat, she decided to save the ground beef. She formed hamburger patties, wrapped them loosely in wax paper, and placed them in the refrigerator on the shelf above the vegetable drawer. What mistake(s) did Emily make?

29. Pregnant women who drink alcohol put their baby at risk for
a. Fetal Alcohol Syndrome
b. physical deformities
C. stillbirths
d. all of the above

What is a free radical?

as a nurse, state and explain 5 clinical or medical significance of tissue ​

1. Which of the following is considered as waste?
A. decaying wood
B. rusty metal C. spoiled food
D. all of the above​

You graduated 3 months ago and are working with a home care agency. Included in your caseload is J.S., a 60-year-old man suffering from chronic obstructive pulmonary disease (COPD) related to cigarette smoking. He has been on home oxygen, 2 L oxygen by nasal cannula (O 2 /NC), for several years. Approximately 10 months ago, he was on chronic oral steroid therapy. His current medications include an ipratropium/albuterol
(Combivent) inhaler, beclomethasone (Beclovent) inhaler, dexamethasone (Decadron), digoxin (Lanoxin),
and furosemide (Lasix).
1. On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of
Cushing syndrome. Why?
2. Differentiate between Cushing syndrome and Cushing disease.
3. Your assessment includes the following findings. Determine whether the findings are
attributable to J.S.'s COPD or possible Cushing syndrome. Place an L beside the symptoms
consistent with COPD and a C next to those consistent with Cushing syndrome.
_____ 1. Barrel chest
_____ 2. Full-looking face (moon face)
_____ 3. BP 180/94mm Hg
_____ 4. Pursed-lip breathing, especially when patient is stressed
_____ 5. Striae over trunk and thighs
_____ 6. Bruising on both arms
_____ 7. Acne
_____ 8. Diminished breath sounds throughout lungs
_____ 9. Truncal obesity with thin extremities
_____10. Supraclavicular and posterior upper back fat
4. You inform the physician of J.S.'s assessment. The physician believes J.S. has developed
Cushing syndrome and decides to change his prescription from dexamethasone (Decadron)
daily to prednisone (Deltasone) given on alternate days. Explain the rationale for this change.
5. Identify possible consequences of suddenly stopping dexamethasone (Decadron) therapy.
6. You advise J.S. to take the prednisone (Deltasone) at breakfast. Why?
7. Cushing syndrome can affect memory. Patients can easily forget what medications have been
taken, especially when there are several different medications and some are taken on
alternating days. List at least three ways you can help J.S. remember to take his medications
as prescribed.
8. J.S. states that his appetite has increased but he is losing weight. He reports trying to eat, but
he gets short of breath and cannot eat any more. How would you address this problem?
9. You ask him questions related to the presence gastric discomfort, vision, and joint pain. Why?
10. Differentiate between the glucocorticoid and mineralocorticoid effects of prednisone
(Deltasone).
11. How would your assessment change if J.S. were taking a glucocorticoid that had significant
mineralocorticoid activity?
12. Review J.S.'s list of medications. Based on what you know about the side effects of loop
diuretics and steroids, discuss the potential problem of administering these in combination
with digoxin.
13. You need to assess J.S. for signs and symptoms of an infection. Why?
14. What signs and symptoms of infection do you assess for in J.S.? Select all that apply.
a. Pain
b. Fever
c. Loss of function
d. Palpitations
e. Unusual drainage
f. Localized edema
15. Realizing J.S. is susceptible to infection, you review with him ways to reduce the risk of
infection. Identify four major points to include.
16. In addition to measures to reduce the risk of infection, what other information would you
want to stress to J.S. at your visit? Select all that apply.
a. Drink at least 4000mL of fluids daily.
b. Increase intake of foods high in sodium.
c. Weigh yourself first thing in the morning.
d. Take vitamin and electrolyte supplements as prescribed.
e. Notify the physician if your pulse is lower than 60 beats/min.
f. Call the doctor if your weight increases more than 2-3 pounds in 1 day.
g. Take the furosemide (Lasix) first thing in the morning and again at bedtime.
Glucocortocoids Medications
Fludrocortisone
Dexamethasone
Aminpglutethimide
Metyrapone
Mitotane
Etomidate
The Nursing Process
What nursing assessment will you perform regarding each medication?
What planning and implementation do you need to do for each medication?
How would you evalute the effectiveness of each medication?

How often should we perform these things?

1: Communication, healthy foods,trust, building Activities

2: ??

3: ??

4: ??

5: ??​

When doing push ups, which best describes your position?
O Distal
O Prone
O Strong
O Supine

What’s the answer i don’t know it!!

After Alison saw her sister knock an earring down the drain after setting them next to the sink, Alison began putting her earrings in her jewelry box when she took them off. Which part of the social cognitive theory addresses Alison’s new behavior?
A.
reciprocal determinism
B.
response tendency
C.
self-efficacy
D.
observational learning


Please select the best answer from the choices provided

Are some groups of people more likely to do drugs than others? Why or why not?

All of the following represent planning for health EXCEPT
O
trying cigarettes.
setting aside time to exercise.
getting regular medical checkups.
making sure that the ingredients for healthy meals are on hand.

what changes did you notice to yourself by playing the role of a chicken,hen,chick​(lawin at sisiw)

You work in Daffodil Lodge Care Home as a health care assistant and you see another member of staff physically abusing a resident. The staff member is pulling the resident out of bed instead of using a hoist and being very aggressive. The elderly gentleman is instantly left with marks on his arms and is crying due to the harsh movement.

Describe what you would do in this situation, what actions would you take? How would you know what to do?

what is non time bound?​

do you think the ideas of the editor will be effective?why or why not?​