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What nursing interventions are appropriate for Mrs. J. at the time of her admission?

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Question DescriptionUse the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.Case ScenarioMrs.J. is a 63-year-old woman who has a history of hypertension, chronicheart failure, and sleep apnea. She has been smoking two packs ofcigarettes a day for 40 years and has refused to quit. Three days ago,she had an onset of flu with fever, pharyngitis, and malaise. She hasnot taken her antihypertensive medications or her medications to controlher heart failure for 4 days. Today, she has been admitted to thehospital ICU with acute decompensated heart failure.Subjective DataIs very anxious and asks whether she is going to die.Denies pain but says she feels like she cannot get enough air.Says her heart feels like it is “running away.”Reports that she is so exhausted she cannot eat or drink by herself.Objective DataHeight 175 cm; Weight 95.5 kgVital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58Cardiovascular:Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheralpulses are 1+; bilateral jugular vein distention; initial cardiacmonitoring indicates a ventricular rate of 132 and atrial fibrillationRespiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%Gastrointestinal: BS present: hepatomegaly 4 cm below costal marginCritical Thinking QuestionsWhatnursing interventions are appropriate for Mrs. J. at the time of heradmission? Drug therapy is started for Mrs. J. to control her symptoms.What is the rationale for the administration of each of the followingmedications?IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Describefour cardiovascular conditions that may lead to heart failure and whatcan be done in the form of medical/nursing interventions to prevent thedevelopment of heart failure in each condition.Taking intoconsideration the fact that most mature adults take at least sixprescription medications, discuss four nursing interventions that canhelp prevent problems caused by multiple drug interactions in olderpatients. Provide rationale for each of the interventions you recommend. “Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!”What nursing interventions are appropriate for Mrs. J. at the time of her admission? was first posted on May 14, 2019 at 12:10 pm.©2019 “Lion Essays”. Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at support@Lion Essays.com”Do you need a similar assignment done for you from scratch? We have qualified writers to help you with a guaranteed plagiarism-free A+ quality paper.

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