Maryville University - NURS 621

Physical Examination

1)What are your differentials?

Next steps

2. Now that you have completed Carl’s physical examination, what is your next step? You will need to list and provide feedback as to why each item you provide is necessary.

Interventions

3. The RN is getting the EKG and starting an IV line. You prepare to administer 0.4mg sl nitroglycerin and 325mg of ASA. Which of Carl’s medications is a possible contraindication to nitroglycerin?

Re-Assessment

4. As the nurse practitioner, you have called EMS, given a report to the receiving ED, and are now re-assessing the patient six minutes after the initial dose of nitroglycerin.

Carl says, “My chest feels tight. It’s getting worse and...my lower left jaw...it really hurts now.” What has to be evaluated prior to administering a 2nd dose of nitroglycerin?

EMS

5. EMS has arrived to transport Carl. What information is vital to report to EMS?

Treatment Goals

6. What are the treatment goals of an MI?