MS II Cardiovascular Case Study: Aortic Stenosis
Scenario: A 92-year-old male with a history of hypertension and osteoarthritis, yet no other
significant medical history arrived at the ED reporting shortness of breath with minimal exertion
and chest pain. Upon presentation to the ED, he was ambulatory with the use of a cane for
assistance. He was admitted into the hospital, alert and oriented, with a diagnosis of heart failure.
Nursing assessment upon admission reveals blood pressure 120/70, temperature 98.7, apical
pulse 92 with systolic murmur, respirations 24 and slightly labored, O2 saturation 89%, and fine
crackles bilaterally in lungs. The ECG indicates ventricular hypertrophy, and the echocardiogram
shows left ventricular hypertrophy with aortic stenosis.
NGN Item Type: Matrix
Use an X for the nursing actions listed below that are Indicated (appropriate or necessary),
Contraindicated (could be harmful), or Nonessential (makes no difference or not necessary)
for the Patient’s care at this time.
Rationale: Explain your reasons for your decisions
Nursing Action Indicated Contraindicated Nonessential
Request a prescription for
nitroglycerin for chest pain.
Bundle nursing care to allow
for maximum client rest
Administer beta blocker as
Request a consult with
physical therapy for range of
Position patient on left side.
Auscultate bowel sounds
before each meal.
1. What diagnostic test/procedure should be included in this patient’s care?