NRS-410V GCU Week 1 Cardiorespiratory Complexities Discussion and Assignment

NRS-410V GCU Week 1 Topic 1: Cardiorespiratory Complexities

NRS-410V GCU WEEK 1 Topic 1 DQ 1 Description: 

Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion. (150 words)

NRS-410V GCU Week 1 Cardiorespiratory Complexities

Nrs-410v gcu week 1 cardiorespiratory complexities
NRS-410V GCU Week 1 Cardiorespiratory Complexities

NRS-410V GCU WEEK 1 Topic 1 DQ 2 Description:

Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission. (150 words)

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.

Sample Reply 

Nrs-410v gcu week 1 cardiorespiratory complexities

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Re: Topic 1 DQ 2
Cardiorespiratory problems affect several people rehabilitation for both issues are available. According to the American Heart Association, cardiac rehabilitation is a program designed to promote cardiovascular health with exercise counseling, education for heart-healthy living, and counseling to decrease stress (What is Cardiac Rehabilitation, n.d.). Pulmonary rehabilitation is a program for people who have chronic breathing difficulties and produced to help promote their cancellation to operate and quality of life by education training, nutritional counseling, education about the condition and how to manage it, techniques to be used to conserve energy, breathing strategies and psychological counseling and/or support organizations (COPD, 2019). Other supplies required for nonacute care for cardiorespiratory issues involve home health which enables people to understand their disease process, gain support with medication administration, and education about the application of durable medical equipment. Home health may also involve physical therapy, occupational therapy, speech therapy, and social workers which will enable people to have a more immeasurable quality of care from many various disciplines. All of the resources, as mentioned above, promote patient independence by implementing quality of care and quality of life for patients which will reduce readmission. By having support from doctors, nurses, family, and friends, a person is more likely to be compliant and want a more vigorous lifestyle. Through education and taking measures to manage their disease, individuals can have a better life.

Case Study: Mrs. J. Assignment (NRS-410V GCU Week 1)

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 a 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

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is \”running away.\”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. 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.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. 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.
  3. 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.
  4. 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.
  5. 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 modifications will assist the patients\’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.\’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two 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. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Regards,

Cathy, CS.