Reference no: EM133228008
Assignment - Ethical and Legal Aspects of Nursing Discussion
Description - A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath that became worse with activity. He decided to come to the office today because he is now propping up on at least 3 pillows at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam - BP 106/74 mmHg, Heart rate 110 beats per minute (bpm)
HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; presence of 3rd heart sound; jugular venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection fraction of 25%
Diagnosis: Heart failure, secondary to silent MI
Discussion Questions:
Differentiate between systolic and diastolic heart failure.
State whether the patient is in systolic or diastolic heart failure.
Explain the pathophysiology associated with each of the following symptoms: dyspnea on exertion, pitting edema, jugular vein distention, and orthopnea.
Explain the significance of the presence of a 3rd heart sound and ejection fraction of 25%.
|
How could a leader intervene effectively in this situation
: In a conflict such as those described by your peers, which mode of conflict resolution (as described in Topic 6) might be used to resolve the dispute
|
|
How does a history of exclusion affect the aging process
: How does a history of exclusion affect the aging process? Can we do anything to address this? If not, why not? If yes, what can we do?
|
|
Explain the stages in healing a bone fracture
: Explain the stages in healing a bone fracture. Terms to include in your explanation: hemorrhage, hematoma, internal callus, external callus, osteoblasts.
|
|
Explanation of the evidence you found
: Give an explanation of the evidence you found related to the technology strategy that is being used or could be used in your setting
|
|
Differentiate between systolic and diastolic heart failure
: Differentiate between systolic and diastolic heart failure. State whether the patient is in systolic or diastolic heart failure
|
|
Assess the ongoing clinical situation
: Indicate a diagnosis you would make at this time and what information was used to decide - No one in the family had previously committed suicide
|
|
Identify your own strengths in building relationships
: Reflecting on the reading for this week, address the following: Identify your own strengths in building relationships with families and the community
|
|
How do you know if you are gay
: She asks the nurse How do you know if you are gay or not, confides to the nurse that she is "not interested in dating boys" but does not think she is a lesbian
|
|
What would occur voltage-regulated na+ and k+ gates opened
: What would occur if voltage-regulated Na+ and K+ gates opened at the same time, rather than at different times, during the production of an action potential?
|