Verified Document

Exercises: 10 Points Each How Essay

Question 6

The patient needs to take the recommendations in question 5 or he likely has a very dim future if his BP and cholesterol is not lowered a lot. Blood pressure should be measured after the patient has rested for at least five minutes. He should be instructed in advance of the appointment what not to eat or drink so that the test result is not improperly influenced (e.g. drinking caffeine).

Question 7

There is no advancement or progression in symptoms but blood pressure is still entirely too high. It needs to drop by at least 30 points to be within a non-hypertension range. Needs to be made clear to patient that while he is feeling fine for now, that will change if the proper lifestyle changes are not made.

Question 8

A full batter of blood work should be done to get the full picture of what is really going in with the patient. A urinalysis should also be done because that could be instructive as well.

Question 9

The cholesterol is indeed out of whack. The good amount is too low and the bad amount is too high. The QRS voltage is an indicator of LVH and is likely a precursor or symptom of heart issues based on family history and the totality of the symptoms.

Question 10

The lifestyle changes named earlier are now urgent and the patient should be monitored for blockages in arteries as well as heart scans/analysis to find out what, if anything, is systemically or physically wrong with the function and structure of the heart.

2. Chapter 4: Heart Failure

Question 1

There are multiple symptoms in play here that are indicative of congestive heart failure. Specifically, the swelling in the hands and feet, the consistent shortness of breath, the patient's age and the fatigue he is having.

Question 2

The edema in the feet and...

The pulse is a bit weak and the patient's strength is not optimal although that is not entirely surprising given the age of the patient. The cool and pale skin is also not a good sign.
Question 3

A full battery of tests should be done including full blood work, a urinalysis test, a chest radiograph and an electrocardiogram. All of these are relevant, each for their own reasons.

Question 4

As a proactive set of measures, it would probably be a good idea to prescribe beta blockers and a diuretic. The patient should keep aspirin on hand in case of a possible heart attack.

Question 5

There is a set of facts that come from these results that confirm that congestive heart failure is in play. The cardiomegaly is one of them. The pleural effusions are another. The perihilar infiltrates are another. These items could each be caused by issues not related to congestive heart failure but these facts along with the other symptoms make that extremely unlikely.

Question 6

Extra tests to rule out other disorders causing the symptoms found previously should be done just to ensure that the patient is not actually suffering from something other than congestive heart failure or something else in addition to CHF, but the primary course of treatment has been and should remain congestive heart failure therapies.

Question 7

Inotropes are probably not necessary given that the diuretic is seemingly doing its job. However, continued use of the diuretic, beta blockers and ACE inhibitors would be called for.

Question 8

The patient needs to stop smoking immediately. The patient needs to keep her weight under control if it is not already. The patient needs to eat a good diet that helps keep sodium, cholesterol and fat under control.

Cite this Document:
Copy Bibliography Citation

Related Documents

Exercises: 10 Points Each How
Words: 1437 Length: 4 Document Type: Essay

She should take drugs for rapid onset of symptoms only when called for but drugs that keep her level as time goes on should be taken consistently (Brasher, 2012). Question 11 The girl needs to not mow the lawn anymore or otherwise expose herself to situations that can lead to attacks (Brasher, 2012). 2. Chapter 6: COPD Question 1 The patient should be asked if she is currently smoking, is around someone that is

Exercises How Are Urinalysis, Blood
Words: 1196 Length: 4 Document Type: Essay

There is also aneed to discontinue all the nephrotoxic drugs as well as the elimination of exposure to any form of nephrotoxins. All forms of electrolyte abnormalities must be properly corrected.Uric acid and pigments can be treated using alkaline dieresis. Alcohol drip and fomepizole should be used for treating methanol or ethyl glycol poisoning. Postrenal acute renal failure is caused by the obstruction of the urinary collection system which is

Exercises Describe the Role of Rigor in
Words: 1353 Length: 3 Document Type: Essay

Exercises Describe the role of rigor in nursing research. The extent to which nursing research methods are carefully and strictly conducted in order enhance the quality of the evidence that the study yields. This is even critical if casual inferences about relationships are of value. In addition, rigor ensures that threats to validity are minimized, assessed and considered during the study. Discuss three sampling methods for nursing research. Include the positives and negatives

Deuteronomy, Chapter 10 According to
Words: 1933 Length: 5 Document Type: Research Paper

" Therefore, Spero says, there is the fifth requirement, calling the reader to keep the commandments and statutes. Spero explains: "where the reverence and love are weak, the actual observance of the commandments, with its evocation of the Presence of God, can strengthen these elemental emotions. Thus, the function of the practical commandments is both expressive and impressive" (p. 155). The book of Deuteronomy, and specifically its tenth chapter, has multiple

Students With Disabilities Who Did
Words: 17241 Length: 60 Document Type: Dissertation

The shift toward standardized testing has failed to result in a meaningful reduction of high school dropout rates, and students with disabilities continue to be marginalized by the culture of testing in public education (Dynarski et al., 2008). With that said, the needs of students with specific educational challenges are diverse and complex, and the solutions to their needs are not revealed in the results of standardized testing (Crawford &

Multiple Sclerosis Etiology Multiple Sclerosis,
Words: 3721 Length: 12 Document Type: Term Paper

) between 20 and 50. Studies have shown that people with multiple sclerosis who exercise: c.) have less fatigue How many people in the United States are diagnosed with multiple sclerosis every week? A b.) about 200 ("Take the FDA Consumer") Dealing with Depression As depression is reportedly the most common psychiatric disorder in multiple sclerosis (MS) patients, those caring for MS patients who express any sort of suicidal ideation should be closely monitored and referred

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now