use following case scenario subjective data and objective data answer critical thinking ques

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

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 so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3, S4 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 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

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.

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 rationale for each of the interventions you recommend.

 

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Views of WWI

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Discuss the U.S. view of WWI vs. the view from abroad. Compare and contrast the views of U.S. President Woodrow Wilson and French President Georges Clemenceau at the Versailles Peace Conference in 1919.

Consider these questions:

  • What characterized their vision of peace and rebuilding after the war?
    • Why did they have such different perspectives on peace with Germany?
    • What can a comparison of their views tell us about some of the strengths and weaknesses of Wilson’s vision for America and the world?
    • What long term impact did Wilson’s decision have at home and abroad?
  • The paper should be 3- to 5-pages long (not including title or reference pages), double-spaced, and should include a minimum of three sources (at least two peer-reviewed references besides the textbook). The introductory paragraph should include a thesis statement. WILL BE REFERENCED THROUGH TURNITIN.

     

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    Roles

    Reflect on the roles of nurses, and other healthcare professionals as the roles of physicians in the healthcare system moves from one of working in silos to a more progressive value-based system

     

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    Use Discount Code “Newclient” for a 15% Discount!

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    Thesis Abstract Writing Tips. Write a thesis abstract |

    Your thesis deserves the best. For this reason, our thesis writing experts will, in this article evaluate all the steps in writing a thesis abstract together to leave no stone unturned. We know a lot about the summary, the collection of resources, and the bibliography, but perhaps we don’t know much about the abstract of the thesis.
    Importance of a thesis abstract
    The abstract of the degree thesis is a very short summary of the complete work you have done and serves to summarize the most important points of your degree thesis:

    Choice of topic
    Methodology identified for your thesis
    Final results

    Where to write an abstract for 
    It is present in all degree theses and is always the first part that is read.
    Here are ten practical tips for writing an abstract and making your dissertation complete.
    1 – FIND OUT THE REQUIREMENTS TO BE MET
    An abstract is not an essay or a blog post or your favorite social media post. Certainly, there will be specific requirements regarding length and style: to be sure of this, talk to your supervisor and pay close attention to the initial settings that have been given to you for the construction of your thesis. In case the guidelines you have received provide for certain limits, I must abide by this directive.
    The standard word limit for an abstract is between 150 and 250
    2 – CHOOSE THE RIGHT AND MOST CONGENIAL TYPE OF ABSTRACT FOR YOUR PAPER
    You can evaluate two different types:

    The descriptive (usually for shorter abstracts) summarizes the work done and aims to cite the purpose, methods, and scope of the research in no more than 100 words
    The information (for the more articulated abstracts), in addition to the characteristics of the descriptive, have in addition the results and conclusions and, therefore, can even reach 250 words

    How do you figure out which one is right for your thesis? It depends! The two types of abstracts have the same purpose but diverge in components. You don’t want to choose the wrong type and leave important points for your paper on the road? There is also a third type of abstract, less common but still effective: the critic. In this case you will have to dedicate yourself to giving a critical cut to the comment of the work done.
    3 – CONSIDER THE RECIPIENTS OF THE TEXT
    An important question to ask before writing an abstract is:
    Who will read it? An important question that changes based on the quality of your readers.
    Always consider your audience and adapt your writing in such a way that readers can easily understand the idea behind your work.
    Keep in mind that professionals are always looking for new stimuli and focus a lot on the abstract of a paper.
    4- EXPLAIN THE IMPORTANCE OF YOUR RESEARCH
    When writing your abstract always remember that there are four points to develop in order to hit the mark:

    Because you have decided to dedicate yourself to this research
    Why it matters to you and what the reader might care about
    How did you carry out the research and what results it achieved
    Because whoever reads it should dedicate time to it

    Nothing impossible, in short, just make an order and be honest and you will be able to achieve this goal.
    5– EXPLAIN THE METHODS YOU USED
    This is a very important aspect of your abstract because you always have to define the purpose of your research. Remember, then, that it is important that the research has a key element or topic to be absolutely mentioned in the abstract of your degree thesis.

    Mention the sources you used
    Talk about your approach to research
    Talk about the evidence you can provide to address your arguments and motivations

    6- AVOID THE BORING AND BANAL “COPY AND PASTE”
    It is tremendously harmful, I know it is less tiring but it does not pay. Remember that you are a researcher and you must be credible in everything you do and produce.

    You have to create an unpublished text and you don’t have to reduce yourself to creating a collage made up of meaningless sentences and without any logical connection.
    The text must be interesting and captivating.
    Use different synonyms and words
    Structure sentences differently and avoid hyperbole and redundancy
    Be careful not to let yourself go “too far” and not to cite sources or studies not mentioned in your paper
    Do not “fool” the reader with expectations that they will not find in the contents
    Never give definitions or explanations in the abstract, this is not the time!

    7- STRUCTURE YOUR TEXT IN A LOGICAL WAY
    Even if your abstract is short, it should always follow the guidelines of writing an essay

    Introduction
    Body
    Conclusion

    It’s not just about what you write, it’s also about the way you write it. Avoid ambiguity and follow a sensible line of writing.
    8- INCLUDE KEYWORDS
    You know well how an Internet search works, perhaps using a search engine like Google . Why don’t you do the same with your thesis? You need to add at least five keywords from your abstract in order to give those who are looking for your topic the possibility to get there more easily.

    Try to guess what people might be looking for
    Make an effort to display your work at the top of the search results
    Keywords can influence readers’ judgment, just as it happens to us when we search for something on the Net

    9- ABILITY TO SYNTHESIZE
    Always remember that an informative abstract should explain what conclusions you have drawn from your research and if the problem you started with has been answered.
    Also remember that your abstract, even if informative, must be compact and concise and must explain the general meaning and importance of the research you have done.
    10- EDITING AND CORRECTION OF THE DRAFT
    The mistake is always around the corner, even within 100 or 250-word documents. Remember it!
    Check your text several times to correct grammar and spelling, check the formatting. A good method could be to have the paper reviewed by another person: the supervisor, for example. Surely he will be able to find small errors that escape us. An expert opinion is essential to make sure everything goes right!
    Good luck and good abstract!
    If you still need help with writing your thesis, contact us for advice. We are available every day of the week! Ask for  Online academic writing assistance