Based on these findings, what type of HF does MW have
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Patient Profile
M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday.
Basic Assessment Data
A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2 saturation 89% on RA. S1 and S2 audible without murmur, cap refill >2 secs lower extremities, <2 secs in upper extremities. Vitals: BP 100/60, HR 84, RR 28, Temp 36.1C
Ht: 5’ 5” Wt: 200 lbs.
Question #1:
(10 points) Based on these findings, what type of HF does MW have? Why?
Question #2:
(5 points) What risk factors for HF does MW have?
Question #3:
(5 points) What other manifestations of HF will you assess for?
Question #3:
(10 points) Do you believe her HF is acute or chronic? Why?
Question #4:
(15 points) What nursing diagnoses are most appropriate for MW? Name 3.
Question #5:
(10 points) What nursing diagnosis takes priority? Why?
Question #6:
(10 points) What goals do you have for MW’s care? Name 2.
Question #7:
(25 points) What interventions would you recommend for MW’s priority diagnosis? Name 5 and provide rationale for each.
Question #8:
(10 points) What would you teach MW?