Questions And Answers
Palpated PMI - ANSWER -Displaced Present in all areas
laterally No adventitious sounds
Less than 3cm All areas clear
Brisk and tapping
Performed EKG - ANSWER -Irregular
Palpated tibial arteries - ANSWER -Right: No ST elevation
Vibration - No thrill
Right: Amplitude - 1 +
Left: Vibration - No thrill Nursing diagnosis - ANSWER --Exhibits
Left: Amplitude - 1+ -Deficient knowledge
-Insufficient knowledge of cardiac disease
-Insufficient knowledge of resources for cardiac
Palpated dorsalis pedis arteries - procedure recovery
ANSWER -Right: Vibration - No thrill
Right: Amplitude - 1 +
Left: Vibration - No thrill Signs and symptoms - ANSWER --Not
Left: Amplitude - 1+ currently on cardiac diet
-Sedentary lifestyle prior to hospitalization
-New placement of cardiac stent
Auscultated heart sounds - ANSWER -S1,
S2, and S4 audible
Gallops Short term goal - ANSWER -To have
patient verbalize and agree to their post-stent
care and heart-healthy lifestyle instructions, by
Auscultated carotid arteries - ANSWER - end of hospitalization
Right: no bruit
Left: no bruit
Interventions - ANSWER --Inform patient
that his provider will be in soon to discuss post-
Auscultated abdominal aorta - ANSWER - operative medication
No bruit -Instruct patient that if chest pain develops, he
should alert staff immediately
-Instruct patient to begin exercise regimen: low-
Auscultated abdominal and lower extremities - impact walking, 15-20 minutes, 3 times a week,
ANSWER -Right: Renal - No bruit and increase intensity and frequency as tolerated
Right: Iliac- No bruit -Instruct patient to begin exercise regimen after a
Right: Femoral - No bruit week
Left: Renal - No bruit -Instruct patient to begin cardiac diet, including
Left: Iliac - No bruit reduction of salt and red meat intake
Left: Femoral - No bruit -Instruct patient to begin cardiac diet immediately
-Instruct patient to monitor stent site for signs of
bleeding
-Instruct patient to monitor stent site for signs of
Auscultated breath sounds - ANSWER -
1/2