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.

Mr. j case study | Nursing homework help

Mrs. J. is an elderly woman who was admitted to the hospital with complaints of shortness of breath, fatigue, and swelling in her lower extremities. Upon admission, she was diagnosed with congestive heart failure (CHF) exacerbation and chronic obstructive pulmonary disease (COPD) exacerbation. In this essay, we will critically evaluate Mrs. J.’s situation by describing the clinical manifestations present in her and discussing the appropriateness of nursing interventions at the time of her admission, as well as explaining the rationale for each of the medications listed.

Clinical Manifestations:

Mrs. J. presented with several clinical manifestations that are commonly seen in patients with CHF and COPD exacerbation. These clinical manifestations include:

1. Shortness of breath: Mrs. J. complained of shortness of breath upon admission. This is a common symptom of both CHF and COPD exacerbation, as both conditions can cause fluid to build up in the lungs.
2. Fatigue: Mrs. J. also reported feeling fatigued. This is a common symptom of CHF, as the heart is unable to pump enough blood to meet the body’s needs.
3. Swelling in the lower extremities: Mrs. J. had swelling in her lower extremities, which is a common symptom of CHF. Fluid buildup in the body can cause swelling in the legs, ankles, and feet.
4. Wheezing: Mrs. J. had wheezing upon admission, which is a common symptom of COPD exacerbation. Wheezing is caused by narrowing of the airways in the lungs.

Nursing Interventions:

Upon admission, Mrs. J. received several nursing interventions to manage her CHF and COPD exacerbation. These interventions included:

1. Oxygen therapy: Mrs. J. received oxygen therapy to help improve her breathing. This is an appropriate intervention for patients with CHF and COPD exacerbation, as both conditions can cause difficulty breathing.
2. Diuretics: Mrs. J. was given diuretics to help remove excess fluid from her body. This is an appropriate intervention for CHF patients, as excess fluid buildup in the body can cause swelling and difficulty breathing.
3. Beta-blockers: Mrs. J. was given beta-blockers to help improve her heart function. Beta-blockers can help decrease the workload on the heart, which is important for patients with CHF.
4. Inhaled bronchodilators: Mrs. J. received inhaled bronchodilators to help improve her breathing. This is an appropriate intervention for patients with COPD exacerbation, as bronchodilators can help relax the muscles around the airways and improve airflow.
5. Corticosteroids: Mrs. J. was given corticosteroids to help reduce inflammation in her airways. This is an appropriate intervention for patients with COPD exacerbation, as inflammation in the airways can cause wheezing and difficulty breathing.

Rationale for Medications:

1. Oxygen therapy: Oxygen therapy is given to patients with CHF and COPD exacerbation to improve their breathing and increase the amount of oxygen in their blood. This helps reduce the workload on the heart and lungs and improve overall oxygenation.
2. Diuretics: Diuretics are given to patients with CHF to help remove excess fluid from their body. This helps reduce swelling in the legs and improve breathing. Diuretics work by increasing the amount of urine the body produces, which helps remove excess fluid.
3. Beta-blockers: Beta-blockers are given to patients with CHF to help improve their heart function. They work by blocking the effects of adrenaline on the heart, which can decrease the workload on the heart and improve heart function.