NURS 313 Post-Sim Case Study

NURS 313 Post-Sim Case Study Name Abby Carrick Class/Group Adult Health 1 Date November 8th, 2020 Scenario Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an apicalmyocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about 6 months ago. This morning, he is being admitted to your telemetry unit for a same- day cardiac catheterization. As you take his health history, you note that his wife died a year ago (at about the same time he had his MI) and he does not have any children. He is a current cigarette smoker with a 50- pack-year smoking history. His vital signs are 158/94, 88, 20, and 97.2°F (36.2 ° C). As you talk with him, you realize he has only a minimal understanding of the catheterization procedure.