Assignment Help For You!

Special Offer! Get 20-30% Off on Every Order!

Posted: September 30th, 2023

Case Study: Mrs. J As an RN-BSN-prepared nurse

Case Study Mrs J
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 lifespan.
Evaluate the Health History and Medical Information for Mrs. J., presented below. Case Study: Mrs J. Based on this information, formulate a conclusion based on your evaluation, and
complete the Critical Thinking Essay assignment, as instructed below.

Case Study: Mrs. J As an RN-BSN-prepared nurse, it is crucial to demonstrate a comprehensive understanding of the pathophysiological processes of disease, clinical manifestations, treatment protocols, and how they affect clients across the lifespan. In this case study assignment, you will evaluate the health history and medical information of Mrs. J, a 63-year-old woman with a complex medical history. Based on your evaluation, you will complete a Critical Thinking Essay assignment.

Health History and Medical Information:
Health History:
Mrs. J. is a 63-year-old married woman with a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite needing 2L of oxygen via nasal cannula during activity at home, she continues to smoke two packs of cigarettes a day for the past 40 years. Three days ago, she developed sudden flu-like symptoms, including fever, productive cough, nausea, and malaise. Over the last three days, she has been unable to perform activities of daily living (ADLs) and required assistance for short-distance walking. She has not taken her antihypertensive medications or heart failure medications for three days. Mrs. J. has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data:

Mrs. J. is very anxious and expresses concerns about her prognosis.
She denies pain but feels like she cannot breathe adequately.
She describes her heart as feeling like it is “running away.”
Mrs. J. reports exhaustion and inability to eat or drink without assistance.
Objective Data:

Height: 175 cm; Weight: 95.5 kg.
Vital signs: Temperature 37.6°C, Heart rate 118 (irregular), Respiratory rate 34, Blood pressure 90/58.
Cardiovascular: Distant S1, S2, S3 present; Point of Maximal Impulse (PMI) at sixth intercostal space and faint; 1+ peripheral pulses; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds in the right lower lobe; coughing up frothy blood-tinged sputum; Oxygen saturation (SpO2) at 82%.
Gastrointestinal: Bowel sounds present; hepatomegaly, liver palpable 4 cm below costal margin.
Mrs. J. is receiving the following medications as part of her treatment plan:

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulfate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/NC
Critical Thinking Essay (750-1,000 words):
In your essay, critically evaluate Mrs. J.’s situation by addressing the following points:

Clinical Manifestations: Describe the subjective and objective clinical manifestations present in Mrs. J. Provide a comprehensive overview of her symptoms and findings.

Nursing Interventions at Admission: Discuss the appropriateness of the nursing interventions implemented at the time of Mrs. J.’s admission to the hospital. Explain the rationale for each of the medications listed in her treatment plan.

Cardiovascular Conditions Leading to Heart Failure and Interventions: Describe four cardiovascular conditions that may lead to heart failure. Discuss medical and nursing interventions that can prevent the development of heart failure in each of these conditions.

Preventing Problems Caused by Multiple Drug Interactions in Older Patients: Discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each recommended intervention.

Health Promotion and Restoration Teaching Plan: Develop a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any necessary modifications. Explain how these resources and modifications will assist Mrs. J. in transitioning to independence.

Educating Mrs. J. on Medication Maintenance: Describe a method for educating Mrs. J. about the importance of maintaining prescribed medications to prevent future hospital admissions. Provide a rationale for your chosen approach.

COPD Triggers and Smoking Cessation: Outline COPD triggers that can increase exacerbation frequency and lead to return hospital visits. Considering Mrs. J.’s tobacco use history, discuss appropriate options for smoking cessation that should be offered to her.

Ensure you cite a minimum of two sources published within the last five years that are relevant to nursing practice. Follow the guidelines found in the APA Style Guide for formatting. An abstract is not required.

Please review the rubric before beginning the assignment to understand the expectations for successful completion.

Tags: , ,

Order for this Paper or Similar Assignment Writing Help

Fill a form in 3 easy steps - less than 5 mins.

Why choose our Study Bay Services?

Like every student, Focusing on achieving the best grades is our main goal

Top Essay Writers

We have carefully cultivated a team of exceptional academic writers, each with specialized expertise in particular subject areas and a proven track record of research writing excellence. Our writers undergo rigorous screening and evaluation to ensure they hold relevant advanced degrees and demonstrate mastery of English grammar, citation style, and research methodology. Recent projects completed by our writers include research papers on topics such as sustainable energy policy, cognitive behavioral therapy, and molecular genetics.

Student-Based Prices

We prioritize attracting highly skilled writers through competitive pay and strive to offer the most cost-effective services for students. References from recent years include surveys of customer satisfaction with online writing services conducted by the American Customer Satisfaction Index between 2018 to 2022, demonstrating our commitment to balancing affordable costs with high standards of work through positive reviews and retention of expert writers.

100% Plagiarism-Free

We guarantee 100% original and plagiarism-free final work through a thorough scanning of every draft copy using advanced plagiarism detection software before release, ensuring authentic and high-quality content for our valued customers. To note, we also do not generate assignment content with AI tool, thus you a guaranteed 0% similarity index for your final research paper.

How it works

When you decide to place an order with ap.studybay, here is what happens:

Complete the Order Form

You will complete our order form, filling in all of the fields and giving us as much detail as possible.

Assignment of Writer

We analyze your order and match it with a writer who has the unique qualifications to complete it, and he begins from scratch.

Order in Production and Delivered

You and,the support and your writer communicate directly during the process, and, once you receive the final draft, you either approve it or ask for revisions.

Giving us Feedback (and other options)

We want to know how your experience went. You can read other clients’ testimonials too. And among many options, you can choose a favorite writer.