Mrs. J., a 63-year-old woman with hypertension, chronic heart failure, and sleep apnea, was admitted to the ICU with acute decompensated heart failure. She had not taken her medications for 4 days and reported symptoms of anxiety, shortness of breath, and an irregular heartbeat. On examination, she had signs of heart failure, irregular heartbeat, low blood pressure, and low oxygen levels. IV furosemide was given to reduce fluid overload, enalapril to lower blood pressure, metoprolol to regulate heartbeat, and morphine to relieve anxiety and shortness of breath.

1. Discussion: Chronic Heart Failure and Sleep Apnea
Discussion: Chronic Heart Failure and Sleep ApneaORDER HERE FOR ORIGINAL,
PLAGIARISM-FREE PAPERS ON Discussion: Chronic Heart Failure and Sleep ApneaUse the
following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking
Questions.Case ScenarioMrs. J. is a 63-year-old woman who has a history of hypertension,
chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day
for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever,
pharyngitis, and malaise. She has not taken her antihypertensive medications or her
medications to control her heart failure for 4 days. Today, she has been admitted to the
hospital ICU with acute decompensated heart failure.Subjective DataIs very anxious and
asks whether she is going to die.Denies pain but says she feels like she cannot get enough
air.Says her heart feels like it is “running away.”Reports that she is so exhausted she cannot
eat or drink by herself.Objective DataHeight 175 cm; Weight 95.5 kgVital signs: T 37.6 C, HR
118 and irregular, RR 34, BP 90/58Cardiovascular: Distant S1, S2, S3 present; PMI at sixth
ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac
monitoring indicates a ventricular rate of 132 and atrial fibrillationRespiratory: Pulmonary
crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum;
SpO2 82%Gastrointestinal: BS present: hepatomegaly 4 cm below costal marginCritical
Thinking QuestionsWhat nursing interventions are appropriate for Mrs. J. at the time of her
admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale
for the administration of each of the following medications?IV furosemide (Lasix)Enalapril
(Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Describe four
cardiovascular conditions that may lead to heart failure and what can be done in the form of
medical/nursing interventions to prevent the development of heart failure in each
condition.Taking into consideration the fact that most mature adults take at least six
prescription medications, discuss four nursing interventions that can help prevent
problems caused by multiple drug interactions in older patients. Provide rationale for each
of the interventions you recommend. Discussion: Chronic Heart Failure and Sleep
ApneaAttempt Start Date: 17-Jun-2019 at 12:00:00 AMDue Date: 21-Jun-2019 at 11:59:59
PMMaximum Points: 20.0Use the following Case Scenario, Subjective Data, and Objective
Data to answer the Critical Thinking Questions.Case ScenarioMrs. J. is a 63-year-old woman
who has a history of hypertension, chronic heart failure, and sleep apnea. She has been
smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago,
she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her

2. antihypertensive medications or her medications to control her heart failure for 4 days.
Today, she has been admitted to the hospital ICU with acute decompensated heart
failure.Subjective DataIs very anxious and asks whether she is going to die.Denies pain but
says she feels like she cannot get enough air.Says her heart feels like it is “running
away.”Reports that she is so exhausted she cannot eat or drink by herself.Objective
DataHeight 175 cm; Weight 95.5 kgVital signs: T 37.6 C, HR 118 and irregular, RR 34, BP
90/58Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral
pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a
ventricular rate of 132 and atrial fibrillationRespiratory: Pulmonary crackles; decreased
breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2
82%Gastrointestinal: BS present: hepatomegaly 4 cm below costal marginCritical Thinking
QuestionsWhat nursing interventions are appropriate for Mrs. J. at the time of her
admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale
for the administration of each of the following medications?IV furosemide (Lasix)Enalapril
(Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Describe four
cardiovascular conditions that may lead to heart failure and what can be done in the form of
medical/nursing interventions to prevent the development of heart failure in each
condition.Taking into consideration the fact that most mature adults take at least six
prescription medications, discuss four nursing interventions that can help prevent
problems caused by multiple drug interactions in older patients. Provide rationale for each
of the interventions you recommend.Attempt Start Date: 17-Jun-2019 at 12:00:00 AMDue
Date: 21-Jun-2019 at 11:59:59 PMMaximum Points: 20.0Discussion: Chronic Heart Failure
and Sleep Apnea