Cardiovascular Disorder

What other subjective data would you obtain?

The patient reported an ache or a sharp burning sensation at the sternum center with a

pain scale of 8. She says that the pain was provoked by her walking up the steps. The pain has

since reduced following rest. She denies that the pain radiates to the arms, leg swelling, or any

pain when she takes deep breaths. As reported by the patient, the chest pain lasted for around two

to five minutes before she could feel better. The client further reports that there is no heart

disease history, but she suffers from hypertension (Stephens, 2019).

What other objective findings would you look for?

The patient’s vitals are blood pressure of 129/72, heat rate of 72 beats per minute and

regular, respiratory rate 16, and temperature 98.8 degrees Fahrenheit. On observation, the color

of the skin and mucous membranes is normal. On auscultation of the apical heart for rate and

rhythm using the stethoscope placed over the fourth and fifth intercostal space identified S1 and

S2 as normal with no murmur or gallop. There are no edemas on palpation of the extremities that

might indicate altered venous return, circulatory overload, or heart failure.

What diagnostic exams do you want to order?

The diagnostic examinations ordered for this patient would include an electrocardiogram

test to record the heart’s electrical activity through electrodes attached to the patient’s skin.

Another exam ordered is a blood test to check for increased levels of certain enzymes or proteins

found in the heart muscles. A chest x-ray is requested to check the lungs’ condition, shape, and

size of the heart together with its major blood vessels. The last diagnostic exam ordered is a

computerized tomography scan to spot any blood clot in the patient’s lungs or ensure that the