Heart Failure MS II: Cardiovascular disorder case study: HF Scenario: An 82-year-old woman with a history of chronic heart failure is in the Emergency

MS II: Cardiovascular disorder case study: HF

Scenario: An 82-year-old woman with a history of chronic heart failure is in the Emergency

Department with increased dyspnea, extreme fatigue, and a non-productive cough. She states that

she can hardly walk to the bathroom from her bedroom without having to stop to rest. Her lower

legs are swollen with 3+ edema, and she states that she has gained about 8 pounds over the past

few days. When questioned about her medications, she states, “I have been skipping my fluid pill

because I hate having to go to the bathroom so much. I get so short of breath.”

Vital signs: Temperature 99.9°F (37.7°C), Pulse 110/bpm and regular, Respirations 28/min,

Blood Pressure 188/98 mm Hg.

She is admitted to the telemetry unit with a diagnosis of exacerbation of heart failure, and given

prophylactic anticoagulant therapy, aggressive diuretic therapy, as well as an ACE inhibitor. After

a week, the nurse documents the following assessment findings.

NGN Item Type: Matrix

For each assessment finding, use an X to indicate whether the interventions were Effective

(helped to meet expected outcomes), Ineffective (did not help to meet expected outcomes),

or Unrelated (not related to the expected outcomes).

Assessment Finding Effective Ineffective Unrelated

Edema in the lower legs is measured at

3+ bilaterally.

Patient can walk to the bathroom and

back without becoming fatigued and

short of breath.

Patient states that she will take her

diuretic every morning by 9 AM.

Body temperature maintained at 99°F

(37.2°C) or below.

Weight has increased by 2.2 kg in 2

days.

Patient can balance physical activity

with periods of rest to avoid over-

exertion.

The patient reports no chest pain with

exertion.

The patient’s morning blood pressure is

180/94.

Rationale: Explain your reasons for your decisions

1. What diagnostic test/procedure should be included in this patient’s care?

Looking for this or a Similar Assignment? Click below to Place your Order