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Your patient is a 46-year-old female who presents to the ER with chest pain. The chest X-ray is normal, and the ECG shows sinus tachycardia.

**VITAL SIGNS:**

- **0300:** BP 146/85, T 97.6, RR 20, P 74, O2 96%
- **0010:** BP 160/101, T 98.6, RR 15, P 78, O2 98%
- **0700:** BP 133/61, T 98.7, RR 20, P 68, O2 98%

- **LVEF:** 55%
- **THS:** 2.81
- **K:** 3.2 (Potassium Chloride Oral 40 mEq given at 0300)

1. What is the primary problem, and what is the underlying cause/pathophysiology of this problem?
2. What nursing priority will guide your plan of care?
3. What is the worst possible/most likely complication(s) to anticipate based on the primary problem?

Answer :

Final answer:

The primary problem in this patient with chest pain is not immediately apparent. Further evaluation is required to determine the underlying cause and pathophysiology. The nursing priority will be to conduct a comprehensive assessment to identify the cause and guide the plan of care. Without a specific diagnosis, it is difficult to anticipate the worst possible complications.

Explanation:

Primary Problem and Underlying Cause/Pathophysiology

Based on the given information, the primary problem in this patient with chest pain is not immediately apparent. The normal chest X-ray and sinus tachycardia on the ECG suggest that there may not be any acute cardiac abnormalities. However, further evaluation is required to determine the underlying cause and pathophysiology of the chest pain.

Nursing Priority

The nursing priority in this case will be to conduct a comprehensive assessment of the patient's condition, including a detailed history, physical examination, and further diagnostic tests. This will help identify the underlying cause of the chest pain and guide the plan of care.

Complications to Anticipate

The worst possible or most likely complications to anticipate based on the primary problem are difficult to determine without a specific diagnosis. Chest pain can be caused by various conditions, including cardiac, pulmonary, gastrointestinal, musculoskeletal, and psychological factors. Therefore, it is important to conduct a thorough evaluation to rule out any serious underlying conditions and prevent potential complications.

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