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NRS-410V Module 3 – Mrs. J Case Study

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Grand Canyon University

 

NRS-410V Module 3 – Mrs. J Case Study

 

Pathophysiology and Nursing Management of Clients Health Alterations of Hematology and Cardiovascular Systems

 

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

 

Case Scenario

 

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is "running away."
  4. Reports that she is so exhausted she cannot eat or drink by herself.

 

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

 

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

 

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

 

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Grand Canyon University NRS-410V Module 3 – Mrs. J Case Study Pathophysiology and Nursing Management of Clients Health Alterations of Hematology and Cardiovascular Systems Use the following Case Scenario, Subjective Data, and Object
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