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The pathophysiological processes of a disease

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the
pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they
affect clients across the life span.
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.
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. 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.
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.
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.
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 

Sample Solution

Falcon Poem Harjo is a "clarification" in Joy Harjo's sonnet "Happiness Poetry" discussing petition and life, and how they create around labor. While combining normally, I feel that we are in a spot we didn't envision, and I feel what I might want to do in that superb and quiet spot. In the wake of perusing this sonnet he/she prefers that verse type. This is on the grounds that "Falcon" demands thoughts and extends it to the entire sonnet. For instance, it supplicates from start to finish, is discussing nature and creatures. Individuals will never reconsider they go There are a couple of things throughout everyday life. Until Robert Francis composed a sonnet called "Falcon Plain", the notorious significance of American Eagle was one of them. The sonnet was discharged during the 200th commemoration of the United States, so the planning couldn't be improved. As Poet 180 stated, "This sonnet surveys the conventional images", however this is putting it mildly. Notwithstanding assessing the conventional images, this sonnet totally modifies this undisputed image and the peruser's perspective overall of the United States utilizing short provisos loaded up with provocative lines. This sonnet causes the peruser to see how to add such a large number of implications to images really hurt more than great The entire sonnet is about how we regard arbitrary things and these things never think about it. For me, this sonnet is said from an American perspective. This sonnet discloses to the peruser how American Eagle couldn't care less about the United States and regards Americans. In this sonnet, the writer clarifies that the falcon "will never attempt to look humble". An exceptional and significant course is "American Eagle never said that he will serve on the off chance that he is chosen. Robin Skeleton's sonnet "Bird" is a free sonnet. This implies there is no particular or unsurprising rhyme or example in the sonnet. Skeletons utilize unusual delays and accentuation by doling out words utilizing periods. These all supplement the beat of verse. For instance, "Discombobulation is my region" in the principal line. With full stop, perusers can focus on the earnestness of verse. It underscores the basic character of bird by making an announcement. A case of Skelton underscoring words with free verse is on line 4. If it's not too much trouble put this toward the finish of the sentence with the goal that the peruser can underline the following line. It takes milliseconds to peruse the following word on the following line, not on a similar line. The sentence "Kindly don't trouble him or more" proceeds. This assists with underlining "no" for explaining and tuning in.
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