Rashidah is a 55-year-old female who is experiencing acute chest pain and shortness of breath. She describes the pain as "pressu
re and squeezing." When she becomes nauseous and light-headed, her son insists that he take her to the emergency room. Health History: She started smoking when she was 18, attempted to quit several times in her 40s, and had her last cigarette on her 50 th birthday. She has been overweight for most of her adult life, but has gained 20 pounds in the last few years, which increased her BMI to 34. The last time she had a physical exam was when she turned 50. Her vital signs and blood test results from that exam are listed below. BP: 178/90
HDL: 62 mg/dl
LDL: 190 mg/dl
Triglycerides: 174 mg/dl
Total cholesterol: 252 mg/dl
Fasting blood glucose: 128 mg/dl
Which of these statements is most likely?
a. Rashidah is experiencing a stroke.
b. If Rashidah’s symptoms persist even when she rests, she is experiencing angina.
c. Rashidah is likely experiencing a myocardial infarction.
d. Since Rashidah’s symptoms are acute, she is likely suffering from a respiratory disorder.
Angina is described as pain in the chest and its described as pressure and squeezing pain. Followed with the fact that she started smoking very early with the increase in blood pressure and diabetes. So this will reduce the blood supply to the heart and cause pain. There would be narrowing of the blood vessels reducing blood flow.
The nurse should restate the statement from the client but in a question so she is certain the client truly meant by what he said and it was not gust a misunderstanding
