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.
First, Health History and Medical Information.
Secondly, Health History.
Mrs. J. Case Study
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. However, 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. Also, she has not taken her antihypertensive medications to control her heart failure for 3 days. However, 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. Also, Denies pain but says she feels like she cannot get enough air.
3. Also, says her heart feels like it is “running away.”
4. Also, Reports that she is exhauste-d and cannot eat or drink by herself.
(understanding of the pathophysiological)
Critical Thinking Essay
Critically evaluate Mrs. J.’s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Generally, 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. Also, describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical nursing intervention to prevent the development of heart failure in each condition.
