Nursing Assignment Acers
Cardiorespiratory Complexities NRS 410V
Cardiorespiratory Complexities NRS 410V
Summary of Current Course Content Knowledge
Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses. Through interaction with your instructor and classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery. To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction.
- Which weekly objectives do you have prior knowledge of and to what extent?
- Which weekly objectives do you have no prior knowledge of?
- What course-related topics would you like to discuss with your instructor and classmates? What questions or concerns do you have about this course?
Objectives:
- Evaluate functions of the cardiac and respiratory systems based on findings.
- Develop a health promotion with a restoration teaching plan for a patient with cardiorespiratory complexities. Cardiorespiratory Complexities NRS 410V
- Develop a method for patient education to prevent hospital readmission.
Topic 1 DQ 1
Identify a cardiac or respiratory dysfunction and its cause. Outline the key steps necessary to prevent the dysfunction and improve health status.
Topic 1 DQ 2
Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Explain how readmission affects reimbursement. What implications does readmission have on the hospital, and on the patient?
Case Study: Mrs. J.
Assessment Description
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%. Cardiorespiratory Complexities NRS 410V
- 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 subjective and objective clinical manifestations present in Mrs. J.
- Describe four cardiovascular conditions in which Mrs. J is at risk, and that may lead to heart failure. What can be done in the form of medical/nursing interventions to prevent the development of heart failure in each of the presented conditions?
- By following the nursing process, were the interventions at the time of admissions beneficial for Mrs. J? Would you change any of the interventions to ensure patient independence and prevent readmission?
- Explain each of the seven medications listed in the scenario above. Include the classification, the action, and the rationale for each of these. 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, including maintenance of medications. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence and prevent readmission.
- Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Cardiorespiratory Complexities NRS 410V Case Study: Mrs. J. – Rubric
Rubric Criteria
Clinical Manifestations of Patient
Criteria Description
Description of subjective and objective clinical manifestations
Cardiovascular Conditions Leading to Heart Failure and Interventions
Criteria Description
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure. Explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the presented conditions.
Evaluation of Nursing Interventions at Admissions
Criteria Description
Description of the benefit of the intervention at the time of admission using the nursing process. Explanation of any changes to the interventions to ensure patient independence and prevent readmission.
Nursing Interventions for Older Patients to Prevent Problems Caused by Multiple Drug Interactions
Criteria Description
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each. Discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions.
Health Promotion and Restoration Teaching Plan
Criteria Description
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications. Explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission.
COPD Triggers and Options for Smoking Cessation
Criteria Description
Discussion of options for smoking offered considering patient’s current and long-term tobacco use. Outline of COPD triggers that can increase exacerbation frequency, resulting in readmission.
Thesis, Position, or Purpose
Criteria Description
Communicates reason for writing and demonstrates awareness of audience.
Development, Structure, and Conclusion
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and evolves from development.
Evidence
Criteria Description
Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
Mechanics of Writing
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
Format/Documentation
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.
Case Study: Mrs. J. Resources
- Pathophysiology: Clinical Applications for Client Health
Read Chapter 1 in Pathophysiology: Clinical Applications for Client Health.
Pathophysiology: Clinical Applications for Client Health (Second Edition)
Editor: Grand Canyon University
© 2022 Grand Canyon University. All Rights Reserved. No part of this eBook may be
reproduced, in any form or by any means, without permission in writing from the publisher.
Photography credits and illustrations: Grand Canyon University, Copyright © 2022.
Authors: Angel Falkner, Sue Z. Green, Andrea Johnson, Jeannie Randall, and Stacey Whitney
PDF ATTACHED
- Acute Myocardial Infarction
Read “Acute Myocardial Infarction,” by Reed, Rossi and Cannon, from The Lancet (2017).
PDF ATTACHED
- Congestive Heart Failure and Congenital Defects
Read “Congestive Heart Failure and Congenital Defects,” located on the American Heart Association website.
- Evaluating the Effectiveness of an Online Cardiac Rehabilitation Resource (www.svhhearthealth.com.au) in Improving Knowledge and Confidence for Patients With Newly Diagnosed Cardiac Conditions: A Pre-Experimental Pilot Study
Read “Evaluating the Effectiveness of an Online Cardiac Rehabilitation Resource (www.svhhearthealth.com.au) in Improving Knowledge and Confidence for Patients With Newly Diagnosed Cardiac Conditions: A Pre-Experimental Pilot Study,” by Molan, Emmanuel, Langley and Holloway, from Heart, Lung and Circulation, 2019.
PDF ATTACHED
- GOLD Initiative for Chronic Obstructive Lung Disease
Explore the Global Initiative for Chronic Obstructive Lung Disease (GOLD) website.
- Identifying Self-Care Practices in Heart Failure Patients
Read “Identifying Self-Care Practices in Heart Failure Patients”, by Koster, J, from The Nursing Voice, 9(1) (2021).
PDF ATTACHED
- Patient Perceived Impact of Nurse-Led Self-Management Interventions for COPD: A Systematic Review of Qualitative Research
Read “Patient Perceived Impact of Nurse-Led Self-Management Interventions for COPD: A Systematic Review of Qualitative Research,” by Baker and Fatoye, from International Journal of Nursing Studies (2019).
PDF ATTACHED
- Nurseslabs-For All Your Nursing Needs
Refer to the nurseslabs.com website for pharmacology support in completing the assignment for the topic 1 case study.
- Optional- A Nursing Care of Patients After Cardiac Arrest in the Course of Myocardial Infarction
For additional information, the following is recommended:
“A Nursing Care of Patients After Cardiac Arrest in the Course of Myocardial Infarction,” by Kaminska and Krzeminska, from Journal of Education, Health and Sport (2018).
https://doaj.org/article/39ac6a139c46478997596aa30cf17811?
- Optional- Atrial Fibrillation Symptom Perception
For additional information, the following is recommended:
“Atrial Fibrillation Symptom Perception,” by Streur, from Journal for Nurse Practitioners (2019).
PDF ATTACHED
- Optional- Exploring New Pathways and Emerging Data for Better Control and Management in the Personalized Treatment of Severe Asthma
For additional information, the following is recommended:
“Exploring New Pathways and Emerging Data for Better Control and Management in the Personalized Treatment of Severe Asthma,” by Bernstein, D.I., Journal of Managed Care Medicine, 23(1) (2020).
PDF ATTACHED
- Optional- Ludwig’s Angina: a Multidisciplinary Concern
For additional information, the following is recommended:
“Ludwig’s Angina: A Multidisciplinary Concern,” by Parker and Mortimore, from British Journal of Nursing (2019).
PDF ATTACHED