Mrs. G is a 54-year-old African American woman who has been having… Mrs. G is a 54-year-old African American woman who has been having intermittentindigestion for the past month. She has a history of hypertension and hyperlipidemia. Shewas admitted as an inpatient on a medical floor for management of her blood pressureand is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoreticand complains of nausea and epigastric pain. Clinical Assessment:The rapid response team is called to evaluate Mrs. G. When the team arrives at herbedside, she continues to complain of pain, which now radiates to her neck and back. Shehas some slight shortness of breath and is vomiting.Diagnostic Procedures:The admission electrocardiogram (ECG) shows ST-segment elevation in II, III, and AVF.Baseline vital signs include the following: blood pressure of 160/90 mm Hg, heart rate of98 beats/min (sinus rhythm), respiratory rate of 18 breaths/min, temperature of 99? F, andO2 saturation of 94%.Medical Diagnosis:Inferior myocardial infarction is diagnosed.Questions1. What major outcomes do you expect to achieve for this patient?2. What problems or risks must be managed to achieve these outcomes?3. What interventions must be initiated to monitor, prevent, manage, or eliminate theproblems and risks identified?4. What interventions should be initiated to promote optimal functioning, safety, andwell-being of the patient?5. What possible learning needs do you anticipate for this patient? Health Science Science NursingShare
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