Nursing Student Asked:

"I'm working on a care plan for a 68-year-old patient who came into the ER with chest discomfort, shortness of breath, and fatigue. They have a history of high blood pressure and an irregular heartbeat. I’m not sure what to prioritize or how to educate them after discharge. Can you help?"

Absolutely! Here's a breakdown:

Prioritized Actions:

1. Position the patient upright to improve breathing and reduce strain on the heart.

2. Administer oxygen as prescribed to stabilize oxygen levels.

3. Monitor vital signs closely, focusing on blood pressure, heart rate, and respiratory rate.

Discharge Education:

• Teach the patient about lifestyle modifications, like following a balanced diet and reducing sodium intake.

• Provide information on the importance of medication adherence and regular follow-up appointments.

• Encourage the patient to recognize and report early warning signs, such as chest pain or shortness of breath.