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You are caring for a 48-year Leslie Collins, retired army officer, He arrives to the emergency department after experiencing chest pain and shortness
of breath. His EKG indicated he had a myocardial infarction (MI). He has a history of
hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no
other reported risk factors.
Leslie Collins
Age: 48
DOB: April 16
Gender: M
Height: 6’0”
Weight: 198 lbs
Language: English
Medical History/Risk Factors:
· History of HTN
· High Cholesterol
· Ex-smoker
Personal/social: Veteran
Based on this information, respond to the following prompts:
1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a scholarly or
authoritative source to support your answer.
2. Examine each of the following three factors related to this disease process. Support all
three with a scholarly source.
• cultural
• financial
• environmental implications
3. Identify 3-5 priority nursing interventions for the client while in the emergency
department.
4. Describe labs and diagnostic testing you would want to include in client’s plan of care
and why. What are critical indicators? Support with a scholarly source.
5. What members of the interdisciplinary team need to be included for holistic patient-
centered care? Provide a rationale and support with a scholarly source.
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