Practice Quiz

Managed Care Nursing

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A 45-year-old female presents to the ER with a burning sensation in the epigastric region and added complaints of fatigue and shoulder/jaw pain. No cardiac history and NKDA.

Select the statement that describes the best response for patient care and utilizes the managed care approach to ensure the most positive patient and financial outcomes.

Initial ER triage and intake should include:
  1. Obtaining medical and medication history to include assessment of GERD and prescribed medication.
  2. Administration of 80 mg aspirin immediately upon arrival, obtain full set of vitals, ECG, and medical and medication history.
  3. Obtaining medical and medication history. If history of GERD and symptoms are similar, no cardiac workup required.
  4. None of the above
Explanation
Answer: B - The female patient who presents with atypical cardiac symptoms should be provided with 80 mg aspirin immediately upon arrival. Obtain a full set of vitals, ECG, and medical and medication history.

Treating the patient for a possible heart attack outweighs the healthcare risk and cost of not treating.
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