solved: Scenario: A 92-year-old male with a history of hypertension and…

  

Scenario: A 92-year-old male with a history of hypertension and…    Scenario: A 92-year-old male with a history of hypertension and osteoarthritis, yet no other significant medical history arrived at the ED reporting shortness of breath with minimal exertion and chest pain. Upon presentation to the ED, he was ambulatory with the use of a cane for assistance. He was admitted into the hospital, alert and oriented, with a diagnosis of heart failure. Nursing assessment upon admission reveals blood pressure 120/70, temperature 98.7, apical pulse 92 with systolic murmur, respirations 24 and slightly labored, O2 saturation 89%, and fine crackles bilaterally in lungs. The ECG indicates ventricular hypertrophy, and the echocardiogram shows left ventricular hypertrophy with aortic stenosis.   NGN Item Type: MatrixUse an X for the nursing actions listed below that are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Nonessential (makes no difference or not necessary) for the Patient’s care at this time.Nursing ActionIndicatedContraindicatedNonessentialRequest a prescription for nitroglycerin for chest pain.   Bundle nursing care to allow for maximum client rest periods.   Administer beta blocker as prescribed.   Request a consult with physical therapy for range of motion exercises.    Position patient on left side.   Auscultate bowel sounds before each meal.     Rationale: Explain your reasons for your decisions What diagnostic test/procedure should be included in this patient’s care? Health ScienceScienceNursing MED SURG 212

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