NRS 410 V All assignment NRS 410 V All assignment | Page 39

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NRS-410V Module 3
Pathophysiology and Nursing Management of Clients Health – Alterations of
Hematology and Cardiovascular Systems
Use the following Case Scenario, Subjective Data, and Objective Data to answer
the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart
failure, and sleep apnea. She has been smoking two packs of cigarettes 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 has not taken her antihypertensive
medications or her medications to control her heart failure for 4 days. Today, she
has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data
1.Is very anxious and asks whether she is going to die.
2.Denies pain but says she feels like she cannot get enough air.
3.Says her heart feels like it is "running away."
4.Reports that she is so exhausted she cannot eat or drink 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