Get Answer: John Palmer Lives Question Guide

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This question relates to john palmer lives and requires a structured academic response.

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This topic involves john palmer lives. A strong answer should include explanation, application, and examples.

Original Question

John Palmer is a 52yr old man who lives with his wife in their own home. John was diagnosed with Hypertension and Hypercholesterolemia 5 years ago and Angina 3 years ago. Six months ago, John experienced Acute Coronary Syndrome (ACS). Post admission, John attended cardiac rehabilitation and education and as a result, has undergone diet and lifestyle modification. In addition to this, he has been following a structured exercise program. John had previously enjoyed bike riding with his wife and surfing with his cousin Jim. John has been under the care of his local GP and sees his cardiologist every 6 months. Past medical history Hypertension diagnosed 5 years ago Hypercholesterolaemia diagnosed 5 years ago Angina diagnosed 3 years ago # R) Radius and ulna 2009 Vital signs Pulse:128 beats per minute BP:166/92 mmHg Respirations:26 breaths per minute Temperature: 36.4oC Current medications include: PO Coversyl Plus 5mg / 1.25mg tablets mane PO Atenolol 50mg mane PO Aspirin 100mg Daily Sublingual Glyceryl Trinitrate PRN 400mcg/spray Scenario update Whilst out surfing, with Jim, earlier today, John started to experience central chest pain which didn’t subside after two doses of his sublingual nitrate spray. As John was 20 meters from shore, he was brought back into the beach by his cousin on his surfboard. The local surf lifesaving club called 000 and John has arrived via ambulance to the emergency department. On admission, he is short of breath and has continued central chest pain radiating into his back and down his left arm. Part A – Short answer knowledge-based case study questions Performance criteria Record of results Q1 On arrival at hospital what baseline observations would be relevant for John’s presentation and why? S NYS Student to add answer here Q2 As part of the emergency response, you are asked to collect a blood specimen. List two (2)main blood tests that John may require, and the reason they would be tested. Include in your answer the normal expected ranges. S NYS Student to add answer here Q3 Discuss your scope of practice in relation to recording a patient’s ECG? S NYS Student to add answer here Q4 List four (4) immediate nursing actions in priority for the management of John’s acute chest pain and include the rationale for these nursing actions. S NYS Nursing Action Rationale Q5 Discuss a pain assessment tool that could be used to assess his pain. S NYS Student to add answer here Q6 On John’s previous admission, he was diagnosed with MRSA from an axilla swab. Discuss the infection control strategies that would need to be implemented when caring for John. S NYS Student to add answer here

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