Mabdatory Discussion Question

Use the afterward Case Scenario, Subjective Data, and Objective Data to acknowledgment the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, abiding affection failure, and beddy-bye apnea. She has been smoker two packs of cigarettes a day for 40 years and has banned to quit. Three canicule ago, she had an access of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to ascendancy her affection abortion for 4 days. Today, she has been accepted to the hospital ICU with astute decompensated affection failure.

Subjective Data

  1. Is actual afraid and asks whether she is activity to die.
  2. Denies affliction but says she feels like she cannot get abundant air.
  3. Says her affection feels like it is "running away."
  4. Reports that she is so beat she cannot eat or alcohol 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 present; PMI at sixth ICS and faint; all borderline pulses are 1+; mutual jugular attitude distention; antecedent cardiac ecology indicates a ventricular amount of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased animation sounds adapted lower lobe; coughing bubbling blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm beneath costal margin

Critical Thinking Questions

What nursing interventions are adapted for Mrs. J. at the time of her admission? Biologic analysis is started for Mrs. J. to ascendancy her symptoms. What is the account for the administering of anniversary of the afterward medications?

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

Describe four cardiovascular altitude that may advance to affection abortion and what can be done in the anatomy of medical/nursing interventions to anticipate the development of affection abortion in anniversary condition.

Taking into application the actuality that best complete adults booty at atomic six decree medications, altercate four nursing interventions that can advice anticipate problems acquired by assorted biologic interactions in earlier patients. Provide account for anniversary of the interventions you recommend.

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