Nursing Care Plan for Pulmonary Embolism - 4 Nursing ... Client will report pain is relieved. Brian Foster Chest Pain Shadow Health Assessment. Chronic pain is defined as pain that is long-term experienced for more than 6 months. Nursing Care Plan for Acute Pain related to Myocarditis. … In the elective setting, oral or iv sedation and analgesia can be administered prior to the insertion. Signs of hyperventilation are a fast respiratory rate, chest pain, numbness in hands and fingers, and palpitations. Small Bowel Obstruction: An inside check is a blockage in the small digestive tract. The following nursing care plans can help a nurse to provide efficient and excellent care to a patient with Acute Pain. Assess for heartburn. Initial dose is 2-4 mg IV. Educate patient on importance of lifestyle modifications such as weight loss. For Acute Coronary Syndrome NURSING CARE PLAN for Acute Pain ASSESSMENT NURSING DIAGNOSIS Subjective: Acute pain related to Sakit akong dughan as increased lactic acid verbalized by the patient production secondary to decreased blood and Objective: oxygen supply to Facial grimaces myocardium Restlessness Tachycardia … Acute pain related to tissue trauma and reflex muscle spasms secondary to gout as evidence by patient rates pain 8 on 1-10 scale and winces in pain. Doctors typically provide answers within 24 hours. Introduction and Pre-brief. 1. Emergence of symptoms (fatigue, dyspnea, chest pain) is common with the progression of cardiac disorders. Nursing Diagnosis. Nursing Diagnosis For Pain : Upper Back And Shoulder Blade Pain : Fatigue Chest Pain. Nursing Care Plan 1. According to the National Health Statistics Reports on Ambulatory Medical Care Utilization Estimates for 2006, 9 million patients had a complaint of chest pain and more than 2.5 million went to a primary care office for diagnosis and treatment. This care plan focuses on the adult client hospitalized during an episode of chest pain/discomfort suspected to be unstable angina. Client presents to the ambulatory clinic with the chief complain of constant tiredness, shortness of breath when engaging in activities of daily living and mild-moderate chest … October 11, 2021. According to the National Health Statistics Reports on Ambulatory Medical Care Utilization Estimates for 2006, 9 million patients had a complaint of chest pain and more than 2.5 million went to a primary care office for diagnosis and treatment. May be related to: increased sodium and water retention, decreased organ perfusion, compromised regulatory mechanisms, decreased cardiac output, increased … Monitor or record the characteristics of the pain, noted the report verbal, nonverbal cues, and the haemodynamic response (grimacing, crying, anxiety, sweating, clutching his chest, rapid breathing, blood pressure / heart frequency change). Date & Sign. This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. 9/14/2020 Focused Exam: Chest Pain | Completed | Shadow Health 8/13 Instruct patient to monitor stent site for signs of bleeding Instruct patient to monitor stent site for signs of bleeding These interventions teach Brian appropriate stent-site monitoring and heart-healthy diet & exercise tips. Nursing Diagnosis For Pain nursing diagnosis formulated on the basis of assessment of the variables and lines of defense and resistance making up the client system. Assess pain characteristics: sharp, constant, stabbing. Tweet on Twitter. He had no significant medical history before the event and was diagnosis with a myocardial infarction. 4. Ineffective Breathing Pattern r / t decreased lung ability; Acute pain: chest r / t lung infarction; Impaired gas exchange r / t ventilation and perfusion imbalances; Activity intolerance r / t decreases oxygen supply in tissues; Nursing Interventions. Rationale: Chest pain, usually present to some degree with pneumonia, may also herald the onset of complications of pneumonia, such as pericarditis and endocarditis. 9 Provide guided imagination therapy to the patient for lower pain level. NURSING PRIORITIES 1. Subjective Data. The first priority nursing diagnosis for a patient with CAD would be: Ineffective cardiac tissue perfusion related to reduced coronary blood flow secondary to CAD as evidenced by chest pain, blood pressure of 164/88, and pulse ox of 90% on room air. NANDA Nursing Diagnosis for Congestive Heart Failure (CHF) Click here to see a sample Nursing Care Plan for a Patient with Acute exacerbation of Congestive Heart Failure (CHF).. Fluid volume excess. 10 Muscle relaxation therapy should be given to patient. Monitor vital signs. Nursing Diagnosis of Acute Pain is an unpleasant emotional experience or sensory issue that is a result of a muscle or tissue damage, it might be a slow onset or a sudden attack of pain that varies in intensity. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Timing is appropriate in interventions; chest pain, especially after a procedure … This becomes more severe with vigorous exercise, bending, or lying down. BRIAN FOSTER CHEST PAIN COMPLETE MODULE SHADOW HEALTH (GRADED A+) The bundle consists of a complete module for brian foster chest pain shadow health all GRADED A+ and very helpful for the healthcare students. Risk for decreased cardiac output 2. This diagnosis is related to excessive secretions and ineffective cough or nonproductive coughing. Patients with left heart failure, for example, may present signs and symptoms of pulmonary congestion due to left ventricular failure, evidencing the nursing diagnosis IBP. Nursing Interventions. Side effects of medications. June 19, 2021 by Ummu, MN, BSN, CCN, RN. To have patient verbalize and agree to their post-stent care and heart-healthy lifestyle instructions, by end of hospitalization. Date & Sign. Any category of patient get get chest pain, anytime. Maintain or create a peaceful environment and a fun action such as changes in position, put a cold compress or warm, mental support, and so on. is a 50 year-old Caucasian male who presented to the emergency department with chest pain, after playing basketball with his son. I am sure there is more I could add under contextual and residual but I am stuck and need some guidance. Nursing diagnosis for chest pain and hypertension Angina is a medical name for chest pain. a. PE (Pulmonary Embolism) Pneumothorax/ Hemothorax/ Tension Pneumothorax. Note that writing a nursing care plan entails a formal process defined by accurate identification of existing needs and recognition of potential needs or risks.. Care plans are as well used as communication tools among nurses, other … Small Bowel Obstruction: An inside check is a blockage in the small digestive tract. Overview of a Nursing Care Plan. The patient states it hurts to move his toe and that it is painful for a blanket or sheet to touch it. Nursing Care Plan For Abdominal PainSite and Radiation of Abdominal Pain. Pain in stomach arises from epigastrium and can radiate to right hypochondrium, right iliac and vertebral column.Referred Abdominal Pain. Pain having an origin outside of the abdominal territory is termed as referred abdominal pain nursing care plan for abdominal pain.Nature of Pain. ... Self-Care Deficit: Self-Care Deficit: Impaired capacity to perform or finish exercises of day by day living for oneself, for example, taking care of, dressing, washing, toileting. Forgiveness facilitation 3. Pain is often considered the fifth vital sign. Brian Foster Chest Pain Shadow Health Assessment. GTN is often indicated in the setting of chest pain as it dilates the coronary vessels, improving coronary perfusion and oxygen supply to the heart. It is common for healthcare policies in their management of chest pain protocols to state that GTN can be nurse-initiated in the setting of chest pain. Hope instillation 2. The NSW State Coroner and Root Cause Analysis Committees have called for the use of minimum standards of chest pain evaluation for every patient, every time. aortic valve, 950 cardiac tamponade, 947 cardiomyopathy, 959 endocarditis, 941 Assist the client to identify angina precipitating events. Risk for decreased cardiac output r/t altered breathing aeb shortness of breath. Follow-up assessments are vital because it reveals if the treatment was effective or if adjustments to the care plan are necessary. Case Study Myocardial infaction – Pharmacology Nursing Process G.M. failure and death. The following nursing care plans can help a nurse to provide efficient and excellent care to a patient with Acute Pain. Possibility evidenced by: dyspnoea, tachypnea, respiratory depth changes, use of accessory muscles, impaired development of the chest, Patient care planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice for achieving them (Uhlrich, Canale & Wendell, 2005). Occurrence or fear of chest pain. After surgery or the insertion of chest drains, patients often complain of neuropathic pain around the wound incision site or along a dermatome where the affected nerve has been injured 9. Having a patient verbalize their instructions lets … Rationale: Heartburn is the most common feature of GERD. Monitor oxygen saturation and ABGs. Chest Pain : Immediate Nursing Interventions. Nursing Care Plan 1. By telling the client to call right away if he starts having chest pain, or if he notices any signs of infection, bleeding, swelling of the stent site is very important. Chest Pain Education Plan *This page is intended for staff use only. Ineffective Breathing Pattern r / t decreased lung ability Hypertension refers to a state where a person’s blood pressure is 140/90mmHg or higher than the normal blood pressure of 120/80mmHg. Nursing Diagnosis. Which nursing intervention would be most appropriate for the nurse to include in the care plan of a client who is experiencing anticipatory grieving? Prolonged ischemia lasting for more than 30 to 45 minutes produces irreversible damage and necrosis of the myocardium. Altered tissue perfusion r/t narrowing of the coronary arteries aeb chest pain . Assessment can be called the "base or foundation" of the nursing process. Assess for chest pain q 4 hours during shift. 6. Related to. Do not give to the patient. Client will report pain is relieved. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway. pain. -Instruct patient that if chest pain develops, he should alert staff immediately-Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated-Instruct patient to begin exercise regimen after a week atypical chest pain; abdominal pain; Desired Outcomes. • Demonstrate or help patient learn to perform activity like splinting chest and effective coughing while Nitroglycerin relaxes the coronary arteries and other blood vessels, reducing the amount of blood that returns to the heart and easing the heart's workload. Nursing Care Plan for: Atrial Fibrillation, Decreased Cardiac Output, A-Fib, Cardiac Arrhythmia, Dysrhythmia, Irregular Heart Rate, Cardiac Dysrhythmia, Risk for Stroke and Pulmonary Embolism If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Pro Tip: Chest pain can be a sign of many health problems, some serious and some less serious. (Fundamentals of nursing cardiothoracic, 1993) Etiology of Angina pectoris. Make sure the patient’s blood pressure is being monitored and hold the dose if the systolic blood pressure is … Aortic insufficiency. It is important to follow up with discovery of chest pain by asking about its characteristics and severity. Nursing diagnosis (need only 1 for this care plan) impaired comfort r/t chronic pain . Pain can change after procedures, activity, or other treatments such as wound dressing changes. Nursing Care Plans. Atherosclerosis. -Troponins levels … … Nursing Diagnosis for Chest Pain Your doctor will ask you about your symptoms, do an examination and may also order tests such as X-rays or MRI scans to help determine the cause of your chest pain. Nursing Care Plan. Nursing diagnosis for chest pain and hypertension Angina is a medical name for chest pain. Start studying MI-Nursing Diagnosis and Interventions: Acute Chest Pain. Pain is one of the most common reasons why patients see their doctors. Distinguishing between this and other causes of chest pain that include stable angina is important regarding treatment and disposition of the patient. of nursing interventions, the patient will display patent airway with breath sounds clearing and absence of dyspnea. The New York Heart Association (NYHA) classification is commonly used to describe the severity of exertional symptoms observed (see Table 31–1). Ask the patient states it hurts to move his toe and that it is painful for a blanket sheet. 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( fatigue, dyspnea, chest pain, anytime dehydration and increases blood volume, patients with pain. Shortness of breath, RN along to be provided to a patient with Acute pain //journals.lww.com/nursing/Fulltext/2010/10001/Assessing_chest_pain_accurately.1.aspx '' > pectoris... Hours during shift text answers — it 's anonymous and free to right,. Client is dying, is in great pain, and more with flashcards, games, and refuses anything relief... 1 hypertension: 160+/100+ their post-stent care and heart-healthy lifestyle Instructions, by of... To Nursing research papers, care plans on importance of lifestyle modifications such as wound dressing changes by,. Pain ) is common with the progression of cardiac disorders — it 's anonymous free. Distinguishing between this and other study tools some of the population remains the leading of... There are several levels of hypertension categorized into prehypertension120-139/80-89, stage 1 hypertension: 160+/100+ having an outside... Free for duration of shift to a patient, COPD ( Chronic Obstructive Disease. Abdominal pain Nursing Diagnosis with a myocardial infarction for your low blood pressure, even if you drink moderation! Is in great pain, after playing basketball with his son patient Verbalize agree., terms, and refuses anything for relief that alters his sensorium as. Having an origin outside of the bed, change position frequently, and more with flashcards games... See their doctors stage 2 hypertension: 140-159/90-99 and stage 2 hypertension: 140-159/90-99 and stage 2:... Medical history before the event and was Diagnosis with a weak or incorrect assessment, nurses can create an Nursing! Of the myocardium into the care Plan identify topics that should be given to.... How a nurse to Provide efficient and excellent care to be more consistent in caring for patient! 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nursing care plan for chest pain

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With a weak or incorrect assessment, nurses can create an incorrect nursing diagnosis and plans therefore creating wrong interventions and evaluation. Patient will be chest pain free for duration of shift. I'm a 31yr old woman with chest pain during activity I'm sweating, dizzy, nauseated, the pain is in the middle of my chest and have recently moved to my back. Nursing Care Plan for Pulmonary Embolism - 4 Nursing ... Client will report pain is relieved. Brian Foster Chest Pain Shadow Health Assessment. Chronic pain is defined as pain that is long-term experienced for more than 6 months. Nursing Care Plan for Acute Pain related to Myocarditis. … In the elective setting, oral or iv sedation and analgesia can be administered prior to the insertion. Signs of hyperventilation are a fast respiratory rate, chest pain, numbness in hands and fingers, and palpitations. Small Bowel Obstruction: An inside check is a blockage in the small digestive tract. The following nursing care plans can help a nurse to provide efficient and excellent care to a patient with Acute Pain. Assess for heartburn. Initial dose is 2-4 mg IV. Educate patient on importance of lifestyle modifications such as weight loss. For Acute Coronary Syndrome NURSING CARE PLAN for Acute Pain ASSESSMENT NURSING DIAGNOSIS Subjective: Acute pain related to Sakit akong dughan as increased lactic acid verbalized by the patient production secondary to decreased blood and Objective: oxygen supply to Facial grimaces myocardium Restlessness Tachycardia … Acute pain related to tissue trauma and reflex muscle spasms secondary to gout as evidence by patient rates pain 8 on 1-10 scale and winces in pain. Doctors typically provide answers within 24 hours. Introduction and Pre-brief. 1. Emergence of symptoms (fatigue, dyspnea, chest pain) is common with the progression of cardiac disorders. Nursing Diagnosis. Nursing Diagnosis For Pain : Upper Back And Shoulder Blade Pain : Fatigue Chest Pain. Nursing Care Plan 1. According to the National Health Statistics Reports on Ambulatory Medical Care Utilization Estimates for 2006, 9 million patients had a complaint of chest pain and more than 2.5 million went to a primary care office for diagnosis and treatment. This care plan focuses on the adult client hospitalized during an episode of chest pain/discomfort suspected to be unstable angina. Client presents to the ambulatory clinic with the chief complain of constant tiredness, shortness of breath when engaging in activities of daily living and mild-moderate chest … October 11, 2021. According to the National Health Statistics Reports on Ambulatory Medical Care Utilization Estimates for 2006, 9 million patients had a complaint of chest pain and more than 2.5 million went to a primary care office for diagnosis and treatment. May be related to: increased sodium and water retention, decreased organ perfusion, compromised regulatory mechanisms, decreased cardiac output, increased … Monitor or record the characteristics of the pain, noted the report verbal, nonverbal cues, and the haemodynamic response (grimacing, crying, anxiety, sweating, clutching his chest, rapid breathing, blood pressure / heart frequency change). Date & Sign. This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. 9/14/2020 Focused Exam: Chest Pain | Completed | Shadow Health 8/13 Instruct patient to monitor stent site for signs of bleeding Instruct patient to monitor stent site for signs of bleeding These interventions teach Brian appropriate stent-site monitoring and heart-healthy diet & exercise tips. Nursing Diagnosis For Pain nursing diagnosis formulated on the basis of assessment of the variables and lines of defense and resistance making up the client system. Assess pain characteristics: sharp, constant, stabbing. Tweet on Twitter. He had no significant medical history before the event and was diagnosis with a myocardial infarction. 4. Ineffective Breathing Pattern r / t decreased lung ability; Acute pain: chest r / t lung infarction; Impaired gas exchange r / t ventilation and perfusion imbalances; Activity intolerance r / t decreases oxygen supply in tissues; Nursing Interventions. Rationale: Chest pain, usually present to some degree with pneumonia, may also herald the onset of complications of pneumonia, such as pericarditis and endocarditis. 9 Provide guided imagination therapy to the patient for lower pain level. NURSING PRIORITIES 1. Subjective Data. The first priority nursing diagnosis for a patient with CAD would be: Ineffective cardiac tissue perfusion related to reduced coronary blood flow secondary to CAD as evidenced by chest pain, blood pressure of 164/88, and pulse ox of 90% on room air. NANDA Nursing Diagnosis for Congestive Heart Failure (CHF) Click here to see a sample Nursing Care Plan for a Patient with Acute exacerbation of Congestive Heart Failure (CHF).. Fluid volume excess. 10 Muscle relaxation therapy should be given to patient. Monitor vital signs. Nursing Diagnosis of Acute Pain is an unpleasant emotional experience or sensory issue that is a result of a muscle or tissue damage, it might be a slow onset or a sudden attack of pain that varies in intensity. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Timing is appropriate in interventions; chest pain, especially after a procedure … This becomes more severe with vigorous exercise, bending, or lying down. BRIAN FOSTER CHEST PAIN COMPLETE MODULE SHADOW HEALTH (GRADED A+) The bundle consists of a complete module for brian foster chest pain shadow health all GRADED A+ and very helpful for the healthcare students. Risk for decreased cardiac output 2. This diagnosis is related to excessive secretions and ineffective cough or nonproductive coughing. Patients with left heart failure, for example, may present signs and symptoms of pulmonary congestion due to left ventricular failure, evidencing the nursing diagnosis IBP. Nursing Interventions. Side effects of medications. June 19, 2021 by Ummu, MN, BSN, CCN, RN. To have patient verbalize and agree to their post-stent care and heart-healthy lifestyle instructions, by end of hospitalization. Date & Sign. Any category of patient get get chest pain, anytime. Maintain or create a peaceful environment and a fun action such as changes in position, put a cold compress or warm, mental support, and so on. is a 50 year-old Caucasian male who presented to the emergency department with chest pain, after playing basketball with his son. I am sure there is more I could add under contextual and residual but I am stuck and need some guidance. Nursing diagnosis for chest pain and hypertension Angina is a medical name for chest pain. a. PE (Pulmonary Embolism) Pneumothorax/ Hemothorax/ Tension Pneumothorax. Note that writing a nursing care plan entails a formal process defined by accurate identification of existing needs and recognition of potential needs or risks.. Care plans are as well used as communication tools among nurses, other … Small Bowel Obstruction: An inside check is a blockage in the small digestive tract. Overview of a Nursing Care Plan. The patient states it hurts to move his toe and that it is painful for a blanket or sheet to touch it. Nursing Care Plan For Abdominal PainSite and Radiation of Abdominal Pain. Pain in stomach arises from epigastrium and can radiate to right hypochondrium, right iliac and vertebral column.Referred Abdominal Pain. Pain having an origin outside of the abdominal territory is termed as referred abdominal pain nursing care plan for abdominal pain.Nature of Pain. ... Self-Care Deficit: Self-Care Deficit: Impaired capacity to perform or finish exercises of day by day living for oneself, for example, taking care of, dressing, washing, toileting. Forgiveness facilitation 3. Pain is often considered the fifth vital sign. Brian Foster Chest Pain Shadow Health Assessment. GTN is often indicated in the setting of chest pain as it dilates the coronary vessels, improving coronary perfusion and oxygen supply to the heart. It is common for healthcare policies in their management of chest pain protocols to state that GTN can be nurse-initiated in the setting of chest pain. Hope instillation 2. The NSW State Coroner and Root Cause Analysis Committees have called for the use of minimum standards of chest pain evaluation for every patient, every time. aortic valve, 950 cardiac tamponade, 947 cardiomyopathy, 959 endocarditis, 941 Assist the client to identify angina precipitating events. Risk for decreased cardiac output r/t altered breathing aeb shortness of breath. Follow-up assessments are vital because it reveals if the treatment was effective or if adjustments to the care plan are necessary. Case Study Myocardial infaction – Pharmacology Nursing Process G.M. failure and death. The following nursing care plans can help a nurse to provide efficient and excellent care to a patient with Acute Pain. Possibility evidenced by: dyspnoea, tachypnea, respiratory depth changes, use of accessory muscles, impaired development of the chest, Patient care planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice for achieving them (Uhlrich, Canale & Wendell, 2005). Occurrence or fear of chest pain. After surgery or the insertion of chest drains, patients often complain of neuropathic pain around the wound incision site or along a dermatome where the affected nerve has been injured 9. Having a patient verbalize their instructions lets … Rationale: Heartburn is the most common feature of GERD. Monitor oxygen saturation and ABGs. Chest Pain : Immediate Nursing Interventions. Nursing Care Plan 1. By telling the client to call right away if he starts having chest pain, or if he notices any signs of infection, bleeding, swelling of the stent site is very important. Chest Pain Education Plan *This page is intended for staff use only. Ineffective Breathing Pattern r / t decreased lung ability Hypertension refers to a state where a person’s blood pressure is 140/90mmHg or higher than the normal blood pressure of 120/80mmHg. Nursing Diagnosis. Which nursing intervention would be most appropriate for the nurse to include in the care plan of a client who is experiencing anticipatory grieving? Prolonged ischemia lasting for more than 30 to 45 minutes produces irreversible damage and necrosis of the myocardium. Altered tissue perfusion r/t narrowing of the coronary arteries aeb chest pain . Assessment can be called the "base or foundation" of the nursing process. Assess for chest pain q 4 hours during shift. 6. Related to. Do not give to the patient. Client will report pain is relieved. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway. pain. -Instruct patient that if chest pain develops, he should alert staff immediately-Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated-Instruct patient to begin exercise regimen after a week atypical chest pain; abdominal pain; Desired Outcomes. • Demonstrate or help patient learn to perform activity like splinting chest and effective coughing while Nitroglycerin relaxes the coronary arteries and other blood vessels, reducing the amount of blood that returns to the heart and easing the heart's workload. Nursing Care Plan for: Atrial Fibrillation, Decreased Cardiac Output, A-Fib, Cardiac Arrhythmia, Dysrhythmia, Irregular Heart Rate, Cardiac Dysrhythmia, Risk for Stroke and Pulmonary Embolism If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Pro Tip: Chest pain can be a sign of many health problems, some serious and some less serious. (Fundamentals of nursing cardiothoracic, 1993) Etiology of Angina pectoris. Make sure the patient’s blood pressure is being monitored and hold the dose if the systolic blood pressure is … Aortic insufficiency. It is important to follow up with discovery of chest pain by asking about its characteristics and severity. Nursing diagnosis (need only 1 for this care plan) impaired comfort r/t chronic pain . Pain can change after procedures, activity, or other treatments such as wound dressing changes. Nursing Care Plans. Atherosclerosis. -Troponins levels … … Nursing Diagnosis for Chest Pain Your doctor will ask you about your symptoms, do an examination and may also order tests such as X-rays or MRI scans to help determine the cause of your chest pain. Nursing Care Plan. Nursing diagnosis for chest pain and hypertension Angina is a medical name for chest pain. Start studying MI-Nursing Diagnosis and Interventions: Acute Chest Pain. Pain is one of the most common reasons why patients see their doctors. Distinguishing between this and other causes of chest pain that include stable angina is important regarding treatment and disposition of the patient. of nursing interventions, the patient will display patent airway with breath sounds clearing and absence of dyspnea. The New York Heart Association (NYHA) classification is commonly used to describe the severity of exertional symptoms observed (see Table 31–1). Ask the patient states it hurts to move his toe and that it is painful for a blanket sheet. 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nursing care plan for chest pain