Read the simulation below and answer the

Read the simulation below and answer the following 7 questions: George Jones is a 59-year-old male who went to the emergency department with chest pain. He had experienced this chest pain for 30 minutes and it was not relieved after taking three nitroglycerin tablets 5 minutes apart. He reports the pain feels “dull and like an elephant is sitting on my chest.” He is diaphoretic and appears anxious. His vital signs are temperature 99° F, blood pressure 100/68 mm Hg, heart rate 110 beats/min, and respiratory rate 24 breaths/min. Mr. Jones is overweight and has type 2 diabetes mellitus, hyperlipidemia, and hypertension. He quit smoking last year after a 40-year history of one pack of cigarettes a day. His troponin level is elevated and the EKG shows ST segment elevation. The nurse administers oxygen and draws blood for arterial blood gas analysis. Mr. Jones is told he will have a cardiac catheterization to locate the blockage, determine its severity, and evaluate left ventricular function. With the given information thus far, complete the following: QUESTIONS: List the Non-Modifiable Risk Factors For each factor, explain the rationale why each is a risk factor: List the Modifiable Risk Factors For each factor, explain the rationale why each is a risk factor: Part 2 As you assess your patient here are your findings. Assessment Neuro assessment negative. No deficits. Strength equal and strong. Lung Sounds (crackles bilaterally) Pedal Edema (2+ pitting) Resp rate = 30 with Dyspnea Oxygen saturations (89%) I&O (I=300 O=50) Foley (dark amber 50ml) Vitals B/P = 170/90 Pulse = 130 Resp = 30 Pulse points (all present) Chest pain (yes) Telemetry = Sinus Tachycardia with S-T elevation Troponin Level = 0.45ng/mL Weight up 5 lbs from last week) Left groin (ok, no bruising or oozing) Pedal Pulses 2+ Color of toes (pale pink) Warmth of toes (slightly cool) QUESTIONS 5. What are you thinking is going on with this patient and what rationale do you have for your thought process? (hint….there are actually 2 exemplars occurring considering the symptoms exhibited with your assessment). 6. What medications do you anticipate will be ordered and why would they be ordered? (What would be the goal of the medication) 7. Provide one reference after the appropriate answer that your journal supports in APA format from one of these websites (CDC, MDH, Medscape, AAHRQ, IHI, WHO, Mayo Clinic, Harvard Medical School, NIH, QSEN, NLN, NCSBN.)

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