Question

Part C. Answer the questions from the following case study

The nurse is performing an admission assessment for Mr. Parrott, a 78-year-old man with a history of cardiovascular disease and hypertension. He takes 20 mg of furosemide and 5 mg of Zestril daily. He was seen in the physician’s office today reporting swelling in his feet, shortness of breath while playing golf, awakening at night unable to catch his breath, and “feeling” his heart beating in his chest.

Mr. Parrott’s blood pressure is elevated, and there is no auscultatory gap. A third heart sound is present. His chest x-ray shows cardiac hypertrophy. There are adventitious sounds in both lower bases. He has gained 10 pounds in the past 2 weeks. A urinalysis is normal. His ECG is normal with evidence of slight cardiomyopathy.

1. Which assessment finding would the nurse determine to be of the highest priority for intervention?

Glenn is admitted to the hospital, where his condition continues to decline and progresses to pulmonary edema. The patient asks the nurse, “Am I going to die?”

2.How should the nurse respond? What approaches should the nurse utilize when discussing end of life?

  

The conversation between Mr. Glenn and the nurse continues; Mr. Glenn states, “My doctor said that I only have about 2 months to live.” Should the nurse discuss advance directives with the patient? If so, what approaches should the nurse utilize when discussing his wishes?

3. What members of the interprofessional team could be consulted for transition management?

Answer 1

#. X- ray with Cardiac hypertrophy is the assessment finding that would be determined as the highest priority for intervention because due to it the patient is having is having all the signs and symptoms.

#. The role of the nurse during the active dying phase is to support the patient and family by educating them on what they might expect to happen during this time, addressing their questions and concerns honestly, being an active listener, and providing emotional support and guidance.

#. Nurses foster the process of advance directives by providing education, promoting the exploration and identification of values, and documenting clients' expressed wishes. Nurses are responsible for respecting any legally appropriate client wishes that were made known prior to the client becoming incompetent

#. The members of the interprofessional team consulted for transition management will include physician , counsellor, etc