SOAP Notes s a 4oyo male that is complaining of angina pectoris and left arm pai
ID: 3519925 • Letter: S
Question
SOAP Notes s a 4oyo male that is complaining of angina pectoris and left arm pain. Hle had a stroke in 2014 and has been on heparin diet and exercise. on lemon water instead of pure water. His angina and arm pain started 3 nights ago since he had is stroke. He has a history of high blood pressure and high cholesterol that he tries to control with Despite eating a healthy diet most of the time, Denny loves potato chips and salty popcorn. He snacks and popcorn every night while watching sporting events on television. He is constantly craving fluids but drinks with intermittent SOB (shortness of breath). You take his vitals: BP 150/98, T 98.6, RR 24, HR 102. His EKG, creatine kinase and calcium levels are all within is a 9/10 (0-10 scale; 10 is worst). You notice that he is also clenching his left fist and frequently sighs during the intake. Answer questions (#1-15) based on the above scenario. There may be multiple right answers for some of the questions. normal range. His sodium levels are elevated. You would like to do further testing since he complains that his chest pain Choose all the correct answers that apply. You must mark the right answer or answers for each question in order to receive credit. You are well prepared for this exam if you appropriately use your knowledge and notes. FOR EACH QUESTION (#1-15), MARK ALL-THE CORRECT ANSWERS THAT APPLY. SOME QUESTIONS MAY VE ONE RIGHT ANSWER, OTHERS MAY HAVE SEVERAL 1. The following vitals are within normal range a) BP d) temperature e) all of above b) respiratory rate c) heart rate 2. The complaint of left arm pain is recorded under which of the following in the patient's chart? a) assessment c) plan c) muscle c) hypertonic b) subjective d) objective 3. Creatine kinase levels were tested to rule out damage to which organ system/s? bone b) endocrine d) none of the above 4. Denny is constantly craving fluids because his blood isdue to his frequent snacks during sporting events a) isotonic d) none of above 5. What other diagnostic procedure might you perform to rule out cardiovascular involvement? a) blood troponin levels c) urinalysis d) listening to heart with stethoscope 6. If a diagnostic procedure confirmed right sided heart failure, which of the following would you suspect? a) fluid in the lungs c) pitting edema b) edema in distal extremities d) all of above 7. If his aortic valve was damaged and did not open completely, blood will begin to accumulate in the heart. Which chamber would fill up with blood first (think blood flow through the heart)? a) right ventricle b) left ventricle c) right atriunm d) right ventricle 8. When listening to Denny's heart, you hear a split during the first heart sound. Which valve/s is/are involved with the first heart sound? a) mitral b) aortic c) tricuspid d) pulmonary e)bicuspid 9. Denny is informing you that he is on Heparin which should be charted under which of the following? a) assessment b) subjective c) plan d) objective 10. Angina pectoris is also called chest pain? a) true b) false 11. Your decision for Denny to continue taking his Heparin prescription is charted under which of the following? a) assessment b) subjective c) plan d) objective 12. Which of the following falls in the normal range as it relate to sodium levels (see appendix of your lab manual)? b) 142 c) 126 d) 149Explanation / Answer
1. Temperature
2.assesment
3. muscle
4. Hypotonic
5.Echocardiogram
6.Pitting edema
7. right ventricle
8. Mitral
9.plan
10.True
11.138,142
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