NRS 410V Module 3
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A+ Solution 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 very anxious and asks whether she
is going to die. pain but says she feels like she cannot get enough air. her heart
feels like it is "running away." that she is so exhausted she cannot eat or drink by
herself. Objective Data 175 cm; Weight 95.5 kg signs: T 37.6 C, HR 118 and
irregular, RR 34, BP 90/58 : Distant S1, S2, S3, S4 present; PMI at sixth ICS and
faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac
monitoring indicates a ventricular rate of 132 and atrial fibrillation : Pulmonary
crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged
sputum; SpO2 82% : 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