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Case #1

You are caring for a 65 year old female who presents to your hospital with dyspnea, and confusion. She reports excessive fatigue, dizziness, and weakness. Your assessment findings reveal bilateral crackles heard on auscultation, presence of S3 gallop, cool extremities, and weak peripheral pulses. The client has a history hypertension, MI, and has had difficulty adhering to her plan of weight management and antihypertensive therapy.

1.) What do you think is going on with the client?

2.) What further diagnostic evaluations would you like to make in order to “rule-in” or “rule-out” your suspicions? What tests would you like to see and what would those results reveal? (Be specific)

3.) What pharmacological interventions would you expect the physician to order?

4.) What specifically would you teach the client regarding self-care and health management?

SCIENCE
HEALTH SCIENCE
NURSING

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