Nursing Assignment | Nursing Essay Questions

Subjective Data: R.M. is a 78 year old female who lives in a local assisted living facility long with her dog Cocoa. She has a history of hypertension, aortic stenosis, Diabetes and obesity. Due to recent Covid-19 quarantine her routine has been interrupted as she can’t get outside to go on her walks, nor visit her family or go to Sunday’s lunch. She notices that she is very short of breath when she is up and moving about, with a progressive cough too and even has to use a walker to get around due to the swelling in her legs.
Objective Data: Vitals: BP = 102/65, Pulse = 109, Respirations 24 breath/min, Oxygen saturation 92% on Room Air, Temp. = 98.6 F and Pain 0/10 Neurologic: Alert and Oriented to person, place and time. She is also very pleasant. Cardiovascular: Pulse is +1/0-3+ and ECG indicates sinus tachycardia Pulmonary: Breaths are regular but with crackles bilaterally in the bases. Her cough is non- productive. Questions: 1. What clinical manifestations are this patient experiencing and what is the mechanism causing each of them? Furthermore what conclusion can you draw from her signs and symptoms. 2. Please identity two risk factors that could be responsible for her current symptoms and explain how they each contribute to her current symptoms. 3. Discuss what you would suspect her hemodynamic parameters (preload, afterload, contractility and cardiac output) are and why are they normal, increased or decreased.. Get  Nursing Assignments  Help Today
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