Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

NRS-410V-0L191 Pathophisiology and Nursing Management of Client Health.

28/09/2020 Client: happyw Deadline: 24 Hours

Case Study: Mrs. J.


It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.


Evaluate the Health History and Medical Information for Mrs. J., presented below.


Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.


Health History and Medical Information


Health History


Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.


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 exhausted and cannot eat or drink by herself.


Objective Data



  1. Height 175 cm; Weight 95.5kg.

  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

  3. Cardiovascular: Distant S1, S2, S3 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 4cm below costal margin.


Intervention


The following medications administered through drug therapy control her symptoms:



  1. IV furosemide (Lasix)

  2. Enalapril (Vasotec)

  3. Metoprolol (Lopressor)

  4. IV morphine sulphate (Morphine)

  5. Inhaled short-acting bronchodilator (ProAir HFA)

  6. Inhaled corticosteroid (Flovent HFA)

  7. Oxygen delivered at 2L/ NC


Critical Thinking Essay


In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:



  1. Describe the clinical manifestations present in Mrs. J.

  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

  3. 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.

  4. 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 a rationale for each of the interventions you recommend.

  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients' transition to independence.

  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.'s current and long-term tobacco use, discuss what options for smoking cessation should be offered.


You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.


Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 


This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Instant Assignments
Academic Master
Top Academic Guru
High Quality Assignments
Homework Tutor
Accounting & Finance Master
Writer Writer Name Offer Chat
Instant Assignments

ONLINE

Instant Assignments

Good day dear client, I am a full-time freelance writer with years of experience. My strongest strengths are strong dedication to duty, reliability, quality and excellence. I am going to do an outstanding job for you, kindly PM me and let us commence. Thank you so much in anticipation of your positive response. Thank you very much.

$55 Chat With Writer
Academic Master

ONLINE

Academic Master

I have been working as a article writer for the past 5 years. With genuine expertise gathered over the course of these years, I will provide you with optimum quality Led articles writing work. You can skim through my portfolio to have an overview of my experience and the projects I have completed. I will be looking forward to avail this opportunity of working with you. Thanks

$40 Chat With Writer
Top Academic Guru

ONLINE

Top Academic Guru

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$35 Chat With Writer
High Quality Assignments

ONLINE

High Quality Assignments

With an extensive experience of over 10 years of writing and editing, I promise to meet or exceed your expectations. The days of automated, copied, plagiarized, and unethically optimized content are long gone. Today, you need engaging, well-researched, and optimized content that serves your SEO purpose and boosts your website ranking in the search engines. Not only this, you need EXCELLENT content that leaves a lasting impression on prospective customers and gives you an edge over the competition. This is exactly what I do.

$55 Chat With Writer
Homework Tutor

ONLINE

Homework Tutor

Hello client, I have gone through the project specifications you have provided and I can easily manage the task. I am an experienced writer with diverse Knowledge in Article writing and Rewriting, Dissertations & Thesis writing, reports, case studies, and Literature Review.

$35 Chat With Writer
Accounting & Finance Master

ONLINE

Accounting & Finance Master

Dear client, after going through this project it matched my skills and since it is among my major fields of expertise and my preferred area that I always cover very comprehensively to meet client’s expectations and give outstanding results. I hereby request we proceed to a chat so as we discuss it details.

$35 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Wright and leahey 2013 - I need 4000 words in influence of finance and technology of the growth of Oman SMEs. - Mackillop family services broadmeadows - Thermal analysis of disc brake ppt - Meaning behind the truman show - Week 8 - C battleship program - Eco 550 week 5 problem set - BUSINESS LAW, ETHICS AND SOCIAL RESPONSIBILITY - Admission essay writing service - Sqa chemistry assignment higher - Discussion - How to make a timetable on excel - What is an isobar - Hollensen global marketing 2017 - Order # 9346 - Panasonic kx tda100 specifications - West parley memorial hall - OT- Dis 4 - Short wave diathermy ppt - Dr ekram abdul hameed - Food ordering system data flow diagram - Essay - Dissertation Topics , Due Date 26th September - 5.. - Linda raschke swing trading - Malpas court primary school - Carl rogers self concept theory ppt - Michael himes trinity - Homogeneous oligopoly exists where a small number of firms are - Anova data analysis excel - American history textbook alan brinkley pdf - Secret deodorant marketing strategy - Create a Lesson Plan - Sociology - Cmit 425 risk assessment paper - Email - Writing assignment - University of leeds redundancy - ATF - Laramie wire manufacturing case - Contemporary Abstract Algebra - Relationship between pozzo and lucky - Itil v4 exam dumps 2019 - Brunel university hall hire - Reading summary - Good country people online - Gre biology practice test - So much unfairness of things sparknotes - 15week4 - Sweep frequency generator applications - Bleeding time duke method - Cambridge english empower b1 answer - Aca code of ethics apa citation - Range lowest through value spss - Determination of ka for a weak acid lab answers - Hank kolb director quality assurance solutions - Physical security 2 - Unit 5 job satisfaction answers - Bob lazar net worth - Which of the following is a capital asset - Mt baw baw snow chain hire - Comprehensive problem 1 period 2 the accounting cycle general journal - Atco gas meter replacement - Unli call smart 30 - Informative speech on dreams powerpoint - 2014 maths advanced hsc - Samuel barlow primary academy - Anastasia palecek qld premier - Questions jesus asks in the gospels - Reserach - The monkees sydney opera house - Seismic sea wave crossword - Why is descriptive language used - Why you should wear sunscreen persuasive speech - Questions about the 1920s - Structural integrity report sample - Rolling sphere method example - Access to health rebecca j donatelle pdf - Lab report example engineering - Qperational. discuss 1 - Strong thesis statement about technology - You are in charge of shipping computers to customers - 1 Paper on the Kennedy-Nixon Debate– must be submitted to Canvas Turnitin dropbox - Hoppers crossing radiology 267 heaths road - Life cycle of a river - Cisco 7821 firmware download - Week 4 Part 2 - Building rapport in Negotiation - Saudi arabian riyal to us dollar - Vo2 max lab report example - THE INTERNET - Zappos case study questions and answers - Internal supply chain management definition - .l - HIST 214 MODERN WORLD HISTORY - Vcantor fitzgerald equity research - Punchline algebra book b 12.12 answer key - Mackay consolidated industries pty ltd - Taits mitre 10 somerville