Mr. Kent, a 57-year-old nurse, developed crushing

Mr. Kent, a 57-year-old nurse, developed crushing substernal chest pain with dyspnea, dizziness, and nausea while trying to lift a patient from a bed to a chair. In the emergency department, he states that his symptoms resolved as soon as he sat down to rest. Mr. Kent indicates that he has had similar episodes in the past, particularly when trying to do strenuous yard work. Discuss the pertinent subjective assessment information that you should obtain from Mr. Kent. Identify the priority focused assessments for Mr. Kent. What would be your expected findings? What findings would be abnormal? Identify the diagnostics that should be ordered for Mr. Kent. Give a rationale for each. Based on the results of the diagnostics ordered by the NP, it is determined that Mr. Kent has stable angina. Describe the pathophysiology of stable angina. Differentiate stable vs. unstable angina. Discuss important patient education that you would provide to Mr. Kent prior to his discharge from the ED. Mr. Williamson, age 81, had been feeling tired for several weeks. When he developed extreme short- ness of breath, his wife took him to the emergency department. While in the ED a chest x-ray was performed, following the NP’s assessment and an IV diuretic was ordered and administered. He was admitted to the hospital with pulmonary edema from acute biventricular heart failure. After a few days, he was discharged from the hospital with various medications and instructions to eat a low-sodium diet and weigh himself every morning. What fluid imbalance did Mr. Williamson have when he was taken to the emergency department? What parts of the case scenario provide the evidence for your answer? What assessment findings would the NP anticipate in this patient? Discuss the importance of daily weights and a low-sodium diet for this patient. Detail the stages of Hypertension Discuss the pathophysiologic process and typical presentation of hypertension at each stage Discuss Hypertension and associated effects on kidney function Discuss the pathophysiologic process and typical presentation of DVT. Differentiate between the pathophysiologic process and typical presentation of left-sided vs. right-sided heart failure. Differentiate between the clinical manifestations of a congenital heart defect that causes right-to left-shunting vs. left-to-right shunting. Identify why these differences occur (example: hypoplastic left heart syndrome)

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