W-1 essay

It is deficiencyful coercion an RN-BSN-prepared comfort to conduct an enhanced intellect of the pathophysiological processes of illness, the clinical manifestations and tenor protocols, and how they pretend clients across the vivacity span.

Evaluate the Bloom Truth and Medical Referableice coercion Mrs. J., exhibited adown.

Fixed on this referableice, coercionmulate a misentry fixed on your evaluation, and exhaustive the Critical Thinking Essay ordinance, as instructed adown.

Bloom Truth and Medical Referableice

Bloom Truth

Mrs. J. is a 63-year-old married mother who has a truth of hypertension, continuous kernel deficiency, and continuous irapplicable pulmonary illness (COPD). Despite requiring 2L of oxygen/nasal cannula at settlement during essence, she continues to fume span packs of cigarettes a day and has transacted so coercion 40 years. Three days late, she had abrupt attack of flu-approve symptoms including passion, fertile cough, abomination, and malaise. Over the late 3 days, she has been unfitted to transact ADLs and has required protection in walking weak distances. She has referable smitten her antihypertensive medications or medications to repress her kernel deficiency coercion 3 days. Today, she has been admitted to the hospital ICU with intelligent decompensated kernel deficiency and intelligent exacerbation of COPD.

Subjective Data

Is very solicitous and asks whether she is going to fade.
Denies disinclination save says she feels approve she canreferable obtain sufficient air.
Says her kernel feels approve it is “running separate.”
Reports that she is leisure and canreferable munch or absorb by herself.
Objective Data

Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and riotous, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 exhibit; PMI at sixth ICS and faint: total peripheral pulses are 1+; bilateral jugular feeling distention; judicious cardiac monitoring indicates a ventricular reprimand of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased inhalation sounds direct inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS exhibit: hepatomegaly 4cm adown costal room.

The aftercited medications administered through offal therapy repress her symptoms:

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled weak-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 seat. Include the aftercited:

Describe the clinical manifestations exhibit in Mrs. J.
Sift-canvass whether the nursing interventions at the occasion of her vestibules were withhold coercion Mrs. J. and illustrate the rationale coercion each of the medications listed.
Describe impure cardiovascular stipulations that may transfer to kernel deficiency and what can be transacted in the coercionm of medical/nursing interventions to bar the outgrowth of kernel deficiency in each situation.
Taking into inducement the certainty that most grown adults choose at definite six recipe medications, sift-canvass impure nursing interventions that can succor bar problems caused by multiple offal interactions in older patients. Provide a rationale coercion each of the interventions you confide.
Provide a bloom advancement and renovation instruction pur-pose coercion Mrs. J., including multidisciplinary instrument coercion rehabilitation and any modifications that may be deficiencyed. Illustrate how the rehabilitation instrument and modifications get support the patients’ transition to insurrection.
Describe a rule coercion providing education coercion Mrs. J. concerning medications that deficiency to be maintained to bar advenient hospital vestibule. Provide rationale.
Outline COPD triggers that can acception exacerbation abundance, resulting in requite visits. Considering Mrs. J.’s prevalent and long-term tobacco correction, sift-canvass what options coercion smoking lull should be offered.
You are required to call to a restriction of span sources to exhaustive this ordinance. Sources must be published among the definite 5 years and withhold coercion the ordinance criteria and applicable to nursing habit.

Prepare this ordinance according to the guidelines endow in the APA Style Guide

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