Case stud1 mrs j two
Case Study: Mrs. J.
Grand Canyon University
March 24, 2022
Case Study: Mrs. J.
Clinical Manifestations present in Mrs. J.
Any physical reaction in a patient’s body resulting from any illness or infection is termed
a clinical manifestation. Subjective data from the patient is also considered as clinical
manifestations. Subjective data helps decide on the most appropriate treatment to be administered.
Subjective data is gathered from the symptoms reported by the patient or those observed from
them. About the case study, some of the clinical manifestations present in the patient are high body
temperatures, termed as, fever, nauseous feeling, cough, and malaise. The patient reports that she
is having trouble getting sufficient air. She also feels exhausted and is having trouble carrying out
activities of daily life like eating and drinking.
Nursing Interventions and Rationale for Medications
Upon admission, several interventions were administered to her. The interventions are
appropriate since they are solutions to Mrs. J’s underlying conditions. These include IV furosemide
that will help treat edema resulting from heart failure. Enarpil is administered to treat hypertension
and is considered the best pick due to its ability to acquire quick responsiveness when administered
as an injection. Morphine is aimed at helping Mrs. J with pain resulting from congestive heart
failure. It also helps in keeping her calm hence preventing hypertension. Inhaled short-acting
bronchodilator and inhaled corticosteroid are aimed at helping her with asthma (Singh et al., 2022).
Oxygen at 2L/NC is administered to help with better oxygen supply to the lungs as a solution to
COPD. While at home, the nursing interventions administered are antihypertensive treatment to
avoid heart failure and 2L of nasal cannula or oxygen.
Four Cardiovascular Conditions that may lead to Heart Failure
Mrs. J has a history of hypertension which is one of the main conditions that may lead to
heart failure. Hypertension occurs when the pressure of blood in the arteries that lead blood to
the heart is too high. This could lead to the bursting of the artery hence leading to heart failure.
They are also encouraged to take anti-hypersensitive medication to keep their blood pressure in
check. Secondly, stroke is a condition that affects the functioning of the heart and the general
body. It occurs when blood supply to the brain is cut off maybe by blockage or bursting of an
artery. This could be caused by hypertension and obesity (Alloubani et al., 2018). People with
these conditions are encouraged to practice good lifestyle habits which include physically
exercising the body as well as controlling stress and anxiety. Clotting of blood in the coronary
artery due to cholesterol accumulation is another condition that may lead to heart failure. This
causes interruption to the normal flow of blood to the heart hence leading to heart failure. To
prevent this condition, people are advised to practice habits that prevent them from being
overweight and avoid foods with cholesterol. Lastly, people born with alterations in the normal
structure of the heart have a condition known as congenital heart disease, which also puts them
at risk of suffering heart failure. It causes blood not to flow to the correct parts of the heart.
These people may be treated for this condition while still young and could take medication to
improve the general functioning of the heart.
Nursing Interventions Preventing Problems caused by Multiple Drug Interactions
One, patients are encouraged to practice a healthy lifestyle hence eliminating the need to
take medication completely. Second, doctors’ regular checkups for older patients would help
doctors reduce the number of prescribed medications depending on the rate of improvement of the
patient’s health. Thirdly, general awareness of the effects of drug interactions would help convince
the patients of the need to avoid multiple medications. Finally, patients need to be discouraged
from self-administering drugs that are not doctor prescribed.
Health Promotion and Restoration Teaching Plan for Mrs. J.
Mrs. J should be encouraged to stop her cigarettes addiction as it poses a threat to her health
and life, due to its impact on her underlying conditions. If at all stopping the habit proves difficult,
she could be checked into a rehabilitation service to offer behavioral counseling (Robinson et al.,
2019) together with the hospital to control the response of her body. This will help her with the
problems of insufficient air supply. She should also be encouraged to practice a healthy lifestyle
which includes healthy stress coping mechanisms and consistent taking of her antihypertensive
medication that could help with hypertension. These modifications would help her transition to
Method for Providing Education for Mrs. J.
Even after discharge from the hospital, some of the medications that Mrs. J is taking need
to be maintained to prevent her from being readmitted to the hospital. Education on this include
helping her access health training materials both online and offline which could help her
understand how she could practice a healthy lifestyle. She could also be trained on how to use her
gadget to set reminders on when to take certain medications that control her underlying health
COPD Triggers that can Increase Exacerbation Frequency
Long-term tobacco use caused by three packets of cigarette smoking for 40 years is one of
the major causes of the prevalence of COPD condition. This can be controlled by prescription of
Varenicline which could help her with withdrawal symptoms that she might experience when
stopping this addiction (Robinson et al., 2019). Mrs. J should not also be exposed to areas with air
pollutants such as perfumes, exhaust from vehicles, and processing factories. This is also another
trigger of COPD.
Robinson, J. D., Li, L., Chen, M., Lerman, C., Tyndale, R. F., Schnoll, R. A., … & Cinciripini, P.
M. (2019). Evaluating the temporal relationships between withdrawal symptoms and
smoking relapse. Psychology of Addictive Behaviors, 33(2), 105.
Alloubani, A., Saleh, A., & Abdelhafiz, I. (2018). Hypertension and diabetes mellitus as predictive
risk factors for stroke. Diabetes & Metabolic Syndrome: Clinical Research &
Reviews, 12(4), 577-584.
Singh, D., Garcia, G., Maneechotesuwan, K., Daley-Yates, P., Irusen, E., Aggarwal, B., … &
Berend, N. (2022). New Versus Old: The Impact of Changing Patterns of Inhaled
Corticosteroid Prescribing and Dosing Regimens in Asthma Management. Advances in