Sample interview questions: Describe a challenging cardiac patient case you have dealt with and the steps you took to provide appropriate care.
Sample answer:
Challenging Cardiac Patient Case
Patient: A 68-year-old male with a history of hypertension and hyperlipidemia presented with acute onset chest pain, shortness of breath, and diaphoresis.
Assessment:
- Vital signs: BP 150/98 mmHg, HR 110 bpm, RR 22 breaths/min, SpO2 92% on room air
- Physical examination: Cardiac auscultation revealed a new systolic murmur and gallop rhythm. Peripheral edema was present in bilateral lower extremities.
- Electrocardiogram: ST-elevation myocardial infarction (STEMI) in anterior leads
- Troponin level: Elevated
Steps Taken to Provide Appropriate Care:
Immediate Stabilization:
- Administered high-flow oxygen via nasal cannula
- Established intravenous access and administered nitroglycerin sublingually
- Initiated cardiac monitoring and serial vital signs
- Activated the STEMI protocol and notified the cardiologist
Medical Intervention:
- Administered antiplatelet therapy and heparin
- Provided education on the condition and importance of medication adherence
- Collaborated with the cardiologist to arrange urgent cardiac catheterization
Nursing Care:
- Provided regular pain management and comfort measures
- Monitored for any complications, such as arrhythmias or heart failure
Source: https://hireabo.com/job/2_0_15/Cardiac%20Nurse