{"id":10335,"date":"2020-11-20T20:05:43","date_gmt":"2020-11-20T20:05:43","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=10335"},"modified":"2020-11-20T20:05:43","modified_gmt":"2020-11-20T20:05:43","slug":"evaluate-the-health-history-and-medical-information-for-mrs-j-presented-below","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2020\/11\/20\/evaluate-the-health-history-and-medical-information-for-mrs-j-presented-below\/","title":{"rendered":"Evaluate the Health History and Medical Information for Mrs. J., presented below."},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>Evaluate the Health History and Medical Information for Mrs. J., presented below.<br \/>\nBased on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.<br \/>\nHealth History and Medical Information<br \/>\nHealth History<br \/>\nMrs. 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.<br \/>\nSubjective Data<\/p>\n<p>Is very anxious and asks whether she is going to die.<br \/>\nDenies pain but says she feels like she cannot get enough air.<br \/>\nSays her heart feels like it is \u201crunning away.\u201d<br \/>\nReports that she is exhausted and cannot eat or drink by herself.<\/p>\n<p>Objective Data<\/p>\n<p>Height 175 cm; Weight 95.5kg.<br \/>\nVital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90\/58.<br \/>\nCardiovascular: 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.<br \/>\nRespiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.<br \/>\nGastrointestinal: BS present: hepatomegaly 4cm below costal margin.<\/p>\n<p>Intervention<br \/>\nThe following medications administered through drug therapy control her symptoms:<\/p>\n<p>IV furosemide (Lasix)<br \/>\nEnalapril (Vasotec)<br \/>\nMetoprolol (Lopressor)<br \/>\nIV morphine sulphate (Morphine)<br \/>\nInhaled short-acting bronchodilator (ProAir HFA)<br \/>\nInhaled corticosteroid (Flovent HFA)<br \/>\nOxygen delivered at 2L\/ NC<\/p>\n<p>Critical Thinking Essay<br \/>\nIn 750-1,000 words, critically evaluate Mrs. J.\u2019s situation. Include the following:<\/p>\n<p>Describe the clinical manifestations present in Mrs. J.<br \/>\nDiscuss 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.<br \/>\nDescribe 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.<br \/>\nTaking 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.<br \/>\nProvide 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\u2019 transition to independence.<br \/>\nDescribe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.<br \/>\nOutline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.\u2019s current and long-term tobacco use, discuss what options for smoking cessation should be offered.<\/p>\n<p>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.<br \/>\nPrepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.<br \/>\nThis assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.<br \/>\nYou are required to sub<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>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&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10335","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Evaluate the Health History and Medical Information for Mrs. J., presented below. - onlineclassesguru<\/title>\n<meta name=\"description\" content=\"Health History and Medical Information\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/onlineclassesguru.com\/index.php\/2020\/11\/20\/evaluate-the-health-history-and-medical-information-for-mrs-j-presented-below\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluate the Health History and Medical Information for Mrs. J., presented below. - 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