It is certain for an RN-BSN-prepared foster to manifest an enhanced intelligence of the pathophysiological processes of indisposition, the clinical manifestations and treatment protocols, and how they feign clients across the duration span.
Evaluate the Vigor Narrative and Medical Notice for Mrs. J., introduceed under.
Based on this notice, mouldulate a misentry installed on your evaluation, and consummate the Critical Thinking Essay assignment, as instructed under.
Health Narrative and Medical Information
Mrs. J. is a 63-year-old married mother who has a narrative of hypertension, constant hardihood deficiency, and constant neutralizeive pulmonary indisposition (COPD). Despite requiring 2L of oxygen/nasal cannula at home during essential-quality, she continues to steam two packs of cigarettes a day and has effected so for 40 years. Three days ago, she had hasty attack of flu-approve symptoms including passion, efficient cough, disgust, and malaise. Over the late 3 days, she has been unfitted to consummate ADLs and has required countenance in walking deficient distances. She has not assumen her antihypertensive medications or medications to curb her hardihood deficiency for 3 days. Today, she has been admitted to the hospital ICU delay quick decompensated hardihood deficiency and quick exacerbation of COPD.
Is very careful and asks whether she is going to die.
Denies suffering but says she feels approve she cannot get plenty air.
Says her hardihood feels approve it is "running far."
Reports that she is unemployed and cannot eat or imbibe by herself.
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and riotous, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 introduce; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular state distention; judicious cardiac monitoring indicates a ventricular admonish of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased met sounds fit inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS introduce: hepatomegaly 4cm under costal lip.
The subjoined medications administered through refuse therapy curb her symptoms:
IV furosemide (Lasix)
IV morphine sulphate (Morphine)
Inhaled deficient-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 signification, critically evaluate Mrs. J.'s office. Include the subjoined:
Describe the clinical manifestations introduce in Mrs. J.
Discuss whether the nursing interventions at the date of her arrivals were embezzle for Mrs. J. and teach the rationale for each of the medications listed.
Describe impure cardiovascular provisions that may carry to hardihood deficiency and what can be effected in the mould of medical/nursing interventions to neutralize the crop of hardihood deficiency in each term.
Taking into inducement the occurrence that most aged adults assume at smallest six custom medications, argue impure nursing interventions that can aid neutralize problems caused by multiple refuse interactions in older patients. Provide a rationale for each of the interventions you approve.
Provide a vigor encouragement and reparation training sketch for Mrs. J., including multidisciplinary instrument for rehabilitation and any modifications that may be deficiencyed. Teach how the rehabilitation instrument and modifications achieve further the patients' transition to insurrection.
Describe a regularity for providing advice for Mrs. J. concerning medications that deficiency to be maintained to neutralize coming hospital arrival. Provide rationale.
Outline COPD triggers that can extension exacerbation quantity, resulting in restore visits. Considering Mrs. J.'s floating and long-term tobacco use, argue what options for smoking respite should be offered.
You are required to select to a poverty of two sources to consummate this assignment. Sources must be published delayin the conclusive 5 years and embezzle for the assignment criteria and apt to nursing habit.
Prepare this assignment according to the guidelines set-up in the APA Style Guide, located in the Student Success Center. An immaterial is not required.
This assignment uses a rubric. Please critique the rubric previous to preface the assignment to grace free delay the expectations for prosperous bearing.
You are required to present this assignment to LopesWrite. Refer to the LopesWrite Technical Support tenets for countenance.
RUBRICDue Date: 30-Aug-2020 at 11:59:59 PM
Maximum Points: 120.0
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