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Assignment: Telemetry Monitor
Assignment: Telemetry Monitor
AB is a 72-year-old female who the nurse is admitting to a telemetry hospital bed. She stated: “I was feeling terrible—I had trouble breathing for a few days, but thought it would go away in awhile. But, I couldn’t sleep at night. I haven’t eaten much of anything for days, but I gained 10 pounds! We were going to church this morning, but I just couldn’t catch my breath, so my husband brought me to the hospital to get help.”
Physical assessment revealed an elderly woman with average body habitus, but an enlarged waist. She is alert, oriented x 4 and denies chest pain. Her facial expression is slightly anxious and she is breathing with some difficulty, although she can finish a complete sentence in one breath. The telemetry monitor reveals sinus tachycardia with no ectopic beats. The client is tachypneic. The nurse inspects the client’s chest, which reveals symmetric chest movement and intact skin. Lung sounds on the anterior chest reveal no adventitious sounds on the apices or the 2nd through 4th ICS on either sternal border. Abdomen is soft and slightly distended. Radial, brachial, post tibial pulses are 2+. Patient denies chest pain, but endorses feeling short of breath with a persistent nonproductive cough.
- Organize the information by subjective and objective data. (10%)
- List five priority questions the nurse should ask to obtain a more complete history focused on this client’s thorax and lungs, heart and great vessels, peripheral vascular and lymphatic system, and abdomen. (15%)
- What additional assessments should the nurse do to complete a focused physical assessment of this client’s thorax and lungs, heart and great vessels, peripheral vascular and lymphatic system, and abdomen? (60%)
- List three priority health problems the nurse should help this client with. (Use NANDA terminology) (15%)
What is telemetry monitoring, and how does it work?
When healthcare providers watch the electrical activity of your heart for a lengthy period of time, this is known as telemetry monitoring.
Your heartbeat is controlled by electrical signals.
The data made during telemetry monitoring show healthcare experts if your heart is beating abnormally.
What are the benefits of telemetry monitoring?
Inquire with your doctor about these and other reasons you might require telemetry monitoring:
You’ve had a heart attack, are experiencing chest pain, or have an irregular heartbeat.
You have an issue with your lungs, such as a blood clot or fluid buildup.
You are undergoing surgery under anaesthetic or sedation.
You use medications to keep your heart rate in check.
You’ve been hurt or are in shock.
You’ve had a stroke or are suffering from kidney failure.
What is the procedure for telemetry monitoring?
Cleaning your skin is one of the first steps taken by healthcare practitioners.
Three to twelve electrodes (adhesive pads) are placed on your chest and stomach.
Electrodes can be implanted on your arms or legs as well.
Each electrode has a wire connecting to it.
A small device is also connected to these lines.
The device delivers data about the electrical activity of your heart to a monitoring station.
The information is regularly checked by a healthcare expert at the station.
He examines your heart for issues or changes in its function.
He can tell if a problem has occurred or is likely to occur.
How long will I be monitored by telemetry?
Telemetry monitoring might extend anywhere from 24 to 72 hours.
Every day, your healthcare providers will assess your condition and decide whether or not telemetry should be continued.
When should I make an appointment with my doctor?
You’ve got some concerns concerning telemetry monitoring.
You have worries or inquiries about your health.
When should I seek emergency medical attention or dial 911?
You have any of the following heart attack symptoms:
Chest squeezing, pressure, or discomfort
You could also have one or more of the following:
Back, neck, jaw, stomach, or arm discomfort or pain
Vomiting or nausea
Feeling dizzy or breaking out in a cold sweat
You’re experiencing numbness or weakness in your arm, leg, or face.
You’re perplexed or have difficulty communicating.
You’re suffering from a strong headache.
One or both eyes lose their eyesight.
You can’t stand because you’re dizzy.
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