4 . Respiratory : Pulmonary crackles ; decreased breath sounds right lower lobe ; coughing frothy bloodtinged sputum ; SpO2 82 %
5 . Gastrointestinal : BS present : hepatomegaly 4 cm below costal margin Critical Thinking Questions
What nursing interventions are appropriate for Mrs . J . at the time of her admission ? Drug therapy is started for Mrs . J . to control her symptoms . What is the rationale for the administration of each of the following medications ?
1 . IV furosemide ( Lasix ) 2 . Enalapril ( Vasotec ) 3 . Metoprolol ( Lopressor ) 4 . IV morphine sulphate ( Morphine )
Describe 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 .
Taking 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 rationale for each of the interventions you recommend .