A middle-age man presents to the emergency department (ED)

In: Nursing

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion….

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you.

1. Which assessment data will you perform on his arrival to the ED? Why?

2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest pain, and oxygen at 2 L per nasal cannula. What part of the patient’s care will you delegate to the UAP? Which information will you communicate on delegation?

3. Which interventions will you implement to ensure this patient’s safety?

4. Which priority information will you document in the patient’s electronic health record?

5. The patient’s wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at this time? With which health care team members will you collaborate to ensure positive patient outcomes?

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