Case Study Cardiac Health Assessment Assignment
Case Study Cardiac Health Assessment Assignment
A 50-year-old Black female client is admitted to the health care facility with mitral valve prolapse. The client states that a week ago, she became dizzy and began to perspire while at work. She was working at the computer in her office on a major project that was due that day. The client attributed the episode to the stress and anxiety she was experiencing from finishing the project, so she put a cold wet towel around her neck and continued working. The next day, she woke up with a headache and felt a little tightness in her chest. She took an aspirin, and the symptoms subsided. The client became alarmed today when the tightness in her chest felt more like a pain. The client’s presenting symptoms include fatigue, headaches, and sharp chest pains.
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Vital signs: BP 160/90 mm Hg, HR 110 beats/min, RR 24 breaths/min, temp. 98.0° F (36.7°C), pulse ox 96%, skin is warm; the nurse notes the client is perspiring. Her weight is 30 lb over what it should be. She gives a history of having a murmur since she was little but that it never caused her any problems. She takes cholesterol and blood pressure–lowering medications daily.
Questions:
- What are conditions that contribute to turbulent blood flow or heart murmurs?
Case Study Cardiac Health Assessment Assignment
- What are three techniques used to assess the precordium and heart sounds?
- Based on these symptoms and history, what is the correct landmark for auscultation of heart sounds in this client?
- What kind of heart sounds may be heard in this client?
- When teaching this client about coronary heart disease (CHD), which risk factors are important for the nurse to emphasize?
- If the client asks the nurse if the murmur she has is causing the symptoms, how should the nurse respond?
- Write a proper nursing diagnosis for this client with 2 nursing interventions with rationales.
Case Study Cardiac Health Assessment Assignment
