NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
Described at least five interventions that would be helpful to the patient in question 1 to reverse the listed risk factors.
The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.
Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5.
For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab) NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
- Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
- Include the article’s title before your answers.
Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.
Click the Assignment Files tab to submit your assignment.
NSG 512 Week 1 Study Analysis Preliminary Study Review
The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.
Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab)
- Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
- Include the article’s title before your answers.
Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.
Click the Assignment Files tab to submit your assignment.
Description
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. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
Health History and Medical Information
Health History
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. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
Subjective Data
- Is very anxious and asks whether she is going to die.
- Denies pain but says she feels like she cannot get enough air.
- Says her heart feels like it is “running away.”
- Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
- Height 175 cm; Weight 95.5kg.
- Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
- Cardiovascular: Distant S1, S2, S3 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.
- Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
- Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
Intervention
The following medications administered through drug therapy control her symptoms:
- IV furosemide (Lasix)
- Enalapril (Vasotec)
- Metoprolol (Lopressor)
- IV morphine sulphate (Morphine)
- Inhaled short-acting bronchodilator (ProAir HFA)
- Inhaled corticosteroid (Flovent HFA)
- Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
- Describe the clinical manifestations present in Mrs. J.
- 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. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion
- 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 a rationale for each of the interventions you recommend.
- Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
- Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
- Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. NSG 5003 74 Year Old Man with Aortic Stenosis Discussion