A 70-year-client presents to the emergency department from an assisted living facility with chest pain that started 90 minutes ago. The client’s medical history is significant for a stroke, osteoarthritis, sleep apnea on continuous positive airways pressure (CPAP), systolic heart failure with ischemic cardiomyopathy, stage 3 chronic renal disease, hypertension, type 2 diabetes mellitus, glaucoma, and diabetic neuropathy. The health care provider prescribes a nitroglycerin continuous drip at 5 mcg/min to treat the chest pain, with directions to titrate to chest-pain free. The nurse assesses the client, administers the nitroglycerin continuous drip, monitors the client’s vital signs, and documents in the nurses’ notes. Vital Signs 0830 0900 1030 Temperature (F/C) 97.5o F/36.4o C 97.5o F/36.4o C 97.5o F/36.4o C Heart Rate (BPM) 100 67 107 Respirations (bpm) 18 18 18 Blood Pressure (mmHg) 108/65 100/60 82/52 Oxygen Saturation (SpO2) 95% (Room Air) 94% (Room Air) 93% (Room Air) Pain 4/10 6/10 10/10 Nurses’ Notes 0830: Admitted with pressure-like chest pain that waxes and wanes; rates pain at 8/10 in intensity. Has never experienced pain like this before. Denies vomiting and fevers. States the pain radiates to the arm and jaw. Chest pain is worsened by exertion and relieved with rest. Bilateral rhonchi and rales present throughout lungs. +2 pitting edema to the lower extremities from the knee down bilaterally. Clutching chest because of pain throughout exam. 0900: Titrated nitroglycerin continuous drip by 5 mcg/min every 5 minutes. Client pain free at 15 mcg/min. 0930: Client continues to be chest pain free. No other reported symptoms. 1000: Client continues to be chest pain free. No other reported symptoms. Drag the assessment findings and vital signs from the choices below to fill in each blank in the following sentence. The assessment findings and vital signs that require immediate follow-up include __________, __________, __________, and ___________.
[Expert Solution]: A 70-year-client presents to the emergency…
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