MRS O’GRADY CARDIAC CATHETERIZATION STUDY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
CASE STUDY 9
GENDER Female
AGE 55
SETTING Hospital
ETHNICITY White American
CULTURAL CONSIDERATIONS
PREEXISTING CONDITIONS
Hypertension (HTN); angina; total abdominal hysterectomy six months ago; allergy to shellfish
COEXISTING CONDITION
Positive myocardial perfusion imaging study (stress test)
COMMUNICATION Mrs. O’Grady
DISABILITY
SOCIOECONOMIC
SPIRITUAL/RELIGIOUS
PHARMACOLOGIC
Dipyridamole (Persantine); atenolol (Tenormin); atorvastatin calcium (Lipitor); conjugated estrogen, oral (Premarin)
LEGAL Informed consent
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION
DELEGATION
Overview: This case requires the nurse to convey an understanding of the cardiac catheterization procedure. Appropriate client care pre- and postcardiac catheterization is discussed. The client’s current medications are reviewed. Discharge teaching is provided.
Client Profile Mrs. O’Grady is a 55-year-old female with a history of angina and recent hospital admission for complaints of chest pain and shortness of breath. It is determined that she did not suffer a myocardial infarction. Mrs. O’Grady’s health care provider has scheduled her for a cardiac catheterization after learning that the results of her dipyridamole (Persantine) myocardial perfusion imaging study (stress test) were abnormal.
Case Study
Mrs. O’Grady is having a cardiac catheterization today. The cardiac catheterization lab nurse assigned to care for Mrs. O’Grady will provide teaching, check to see that there are no contraindications for Mrs. O’Grady consenting to the procedure, and provide pre- and postprocedure care.
Questions
- Why has Mrs. O’Grady’s health care provider prescribed a cardiac catheterization? What informa-tion will this procedure provide?
- What are the potential contraindications that can prevent someone from being able to have a cardiac catheterization? What is the contraindication that must be considered in Mrs. O’Grady’s case? Why is this of concern?
- Discuss the preprocedure assessments the nurse will complete prior to Mrs. O’Grady’s cardiac catheterization.
- Discuss interventions the nurse will complete prior to Mrs. O’Grady’s cardiac catheterization.
- Provide a brief rationale for why each of the following medications have been prescribed for Mrs. O’Grady: atenolol (Tenormin); atorvastatin cal-cium (Lipitor); conjugated estrogen, oral (Premarin).
- What are two appropriate nursing diagnoses to consider for Mrs. O’Grady prior to her having the cardiac catheterization?
- O’Grady asks the nurse, “What are they going to do to me today?” Explain what a cardiac catheterization involves and how long Mrs. O’Grady can expect the procedure to last. Briefly describe the difference between a left-sided and right-sided catheterization.
- What are the risks of having a cardiac catheteriza-tion? What are the two most common complications during the procedure?
- List at least five manifestations of an adverse reaction to the contrast dye the nurse will watch for.
- How should the nurse respond when Mrs. O’Grady asks, “How soon will I know if something is wrong with me?”
- What is “informed consent”? Is consent required prior to a cardiac catheterization? Why or why not?
- Immediately following the cardiac catheteriza-tion procedure, what is the nurse’s responsibility to help minimize bleeding at the femoral puncture site, and what will be Mrs. O’Grady’s prescribed activity?
- Discuss the priorities of the nursing assessment following a femoral cardiac catheterization. Be sure to note in your discussion when the health care provider should be notified.
- What are two nursing diagnoses to consider for Mrs. O’Grady following the cardiac catheterization?
- O’Grady has a left groin puncture site. She needs to go to the bathroom, but is still on bed rest. What is the proper way for the nurse to assist her?
- The results of Mrs. O’Grady’s cardiac catheterization indicate that she does not have any significant heart disease and her coronary arteries are patent. The health care provider discharges her. Her husband has been called to bring her home. What instructions should the nurse provide regarding activity, diet, and medications?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. 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