Nursing Assignment Question Answer 2022

NURSING ASSIGNMENT 1
Nursing Assignment
Student Name
Institutional Affiliation
Date
Author’s Note

NURSING ASSIGNMENT 2
Nursing Assignment
Question 1
Mr. Bright is a patient who is at a local hospital. The patient has recently undergone an
angioplasty and the wound is healing well. However, during the recovery stay at hospital he
developed chest pain. An assessment was conducted and the nurses at the facility implemented a
nursing assessment to help manage the chest pain. Some of the assessment were done
appropriately however, there are other assessment which can be included.
The patient underwent an angioplasty on his right coronary artery. The main reason for the
angioplasty was to unclog a clogged artery. Angioplasty has proven to be successful in treating
heart complications such as weak heart muscles or a narrow aorta. It is also recommended for
patients who suffer from diabetes and have had serve blockages in their arteries. In MR Bright’s
case. The patient has had a history of hypertension which has been treated with medication.
However, increased chest pains triggered the by the hypertension resulted in the patient
undergoing surgery (Sapontis et al., 2017)
The patient was had an eluting stent which was inserted. During cardiac monitoring, it was
observed that there was 10% residual stenosis at the site of placement (José et al., 2017). In
addition, there was myocardial ischemia. The surgeon commented that there were some
complications arising during the procedure with the patient. It is possible that the patient is
having a reaction to the eluting stent or the stent has failed resulting in chest pains. There could
also be another underlying complication for example heart failure, or a clot may have occurred in
one of the major blood vessels. It is also possible that there could be a hemorrhage occurring due
to blood vessels rupturing. The doctor in charge ordered that the pain to be resolved and no

NURSING ASSIGNMENT 3
further treatment to be conducted. Resolving the pain help the patient to become more
comfortable, however the underlying problem was not resolved. The patient still had myocardial
ischemia and it was not clear what had triggered the chest pain (Hiremath et al., 2019)
In the assessment, it is recommended that the MO should have scheduled an appointment with
the patient. The patient should have been screened to determine the root cause of the chest pain.
The surgical procedure that was done should have been confirmed if the stent was in the right
place and that the wound was healing properly. A screening would also determine if there are
any ruptured blood vessels and if there is bleeding in the blood vessels (Key, Neelakantan, Jain,
Diaz, & Lorbeer, 2019).
It is also recommended that during the assessment the patients’ pressure level should be
monitored. the patient has had a history of hypertension which is managed using medication.
However, screening should eb done to rule out any underlying issue caused by hypertension.
Also, assessment should be done to continue monitoring the myocardial ischemia (Hirai et al.,
2018).
The patient has also been a smoker. He smokes about 20 cigarettes in a day. It is possible that the
chest pain experienced by the patient could be as a result of an issue in the lungs. Smoking
affects the health of individuals especially elderly (Tarighatnia, Alian, Ghojazadeh, &
Farajollahi, 2016). Mr. Bright is 67 years and it is not clear how long he has been smoking. It is
possible that the smoke could have damaged one of the lungs casing a lung infection which could
trigger the chest pain among other symptoms. In addition, lung failure often results in death. It is
recommended that the patient assessment should include a chest examination to rule out possible
complications caused by smoking (Salisbury et al., 2019)