hypertension

Question 1

In 200-250 opinion,  Discuss what resources are repeatedly indispensable for nonquick caution for cardiorespiratory issues. Expound how they prop unrepining anarchy and decline readmission. 

Question 2  

It is indispensable for an RN-BSN-prepared foster to teach an enhanced brains of the pathophysiological processes of sickness, the clinical manifestations and treatment protocols, and how they affect clients athwart the conduct couple.

Evaluate the Heartiness Truth and Medical Notice for Mrs. J., confer-uponed beneath.

Based on this notice, fashionulate a disposal established on your evaluation, and finished the Critical Thinking Essay ordinance, as instructed beneath.

Health Truth and Medical Information

Health History

Mrs. J. is a 63-year-old married dowager who has a truth of hypertension, constant nature want, and constant obstructive pulmonary sickness (COPD). Despite requiring 2L of oxygen/nasal cannula at residence during ardor, she continues to fume two packs of cigarettes a day and has executed so for 40 years. Three days ago, she had rash onslaught of flu-affect symptoms including heat, fertile cough, abomination, and malaise. Over the spent 3 days, she has been unqualified to transact ADLs and has required abettance in walking defective distances. She has not smitten her antihypertensive medications or medications to repress her nature want for 3 days. Today, she has been admitted to the hospital ICU delay quick decompensated nature want and quick exacerbation of COPD.

Subjective Data

1. Is very solicitous and asks whether she is going to die.

2. Denies trouble but says she feels affect she cannot get ample air.

3. Says her nature feels affect it is "running loose."

4. Reports that she is unemployed and cannot eat or draught by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.

2. Vital signs: T 37.6C, HR 118 and disorderly, RR 34, BP 90/58.

3. Cardiovascular: Distant S1, S2, S3 confer-upon; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular state distention; primal cardiac monitoring indicates a ventricular reprimand of 132 and atrial fibrillation.

4. Respiratory: Pulmonary crackles; declined met sounds fit inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%.

5. Gastrointestinal: BS confer-upon: hepatomegaly 4cm beneath costal room.

Intervention

The aftercited medications administered through offal therapy repress her symptoms:

1. IV furosemide (Lasix)

2. Enalapril (Vasotec)

3. Metoprolol (Lopressor)

4. IV morphine sulphate (Morphine)

5. Inhaled defective-acting bronchodilator (ProAir HFA)

6. Inhaled corticosteroid (Flovent HFA)

7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 opinion, critically evaluate Mrs. J.'s footing. Include the aftercited:

1. Describe the clinical manifestations confer-upon in Mrs. J.

2. Sift-canvass whether the nursing interventions at the term of her admittances were misapply for Mrs. J. and expound the rationale for each of the medications listed.

3. Describe impure cardiovascular stipulations that may carry to nature want and what can be executed in the fashion of medical/nursing interventions to neutralize the harvest of nature want in each case.

4. Taking into consequence the deed that most grown adults capture at conclusive six direction medications, sift-canvass impure nursing interventions that can succor neutralize problems caused by multiple offal interactions in older unrepinings. Provide a rationale for each of the interventions you approve.

5. Provide a heartiness preferment and renovation training sketch for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be deficiencyed. Expound how the rehabilitation resources and modifications procure succor the unrepinings' transition to anarchy.

6. Describe a mode for providing counsel for Mrs. J. in-reference-to medications that deficiency to be maintained to neutralize advenient hospital admittance. Provide rationale.

7. Outline COPD triggers that can extension exacerbation abundance, resulting in revert visits. Considering Mrs. J.'s popular and long-term tobacco use, sift-canvass what options for smoking suspension should be offered.

You are required to quote to a narrowness of TWO sources to finished this ordinance. Sources must be published delayin the conclusive 5 years and misapply for the ordinance criteria and bearing to nursing manner.

Prepare this ordinance according to the guidelines set-up in the APA Style Guide.

This ordinance uses a rubric. Please resurvey the rubric former to inception the ordinance to behove conversant delay the expectations for fortunate quantity. 

You are required to acquiesce this ordinance to LopesWrite. 

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