Title: Module Case Study: Cardiovascular
Course: NUR 2710C Adult Health Nursing II > Section: Module 1:3 Cardiovascular

Review the following Case Study then answer the questions below.  Each question is worth 12 points.

Write your answers in a Word Document.  Save the file with your name and the title of the module then attach it here for grading.

Each case study should be read thoroughly for understanding of the situation and then analyzed by answering the questions with specific information to introduction of patient, problem, pathophysiology, nursing physical assessment, nursing process, recommendations and community resources. For maximum effectiveness it is essential to complete learning objectives and assigned readings prior to the analysis of the case study and to utilize the nursing process and critical thinking to assist with decision-making. The case study rubric is provided to assist with performance expectations.

F.D. is a 62-year-old white woman with a history of type 2 diabetes, hypertension, hyperlipidemia, and coronary artery disease (CAD). She had one myocardial infarction, three years ago. She smoked one packs of cigarettes for 20 years, quitting after her first MI three years ago. She is overweight has little regular exercise except for water aerobics once a week at the local community center.  F.D.'s current drug regimen includes ezetimibe/simvastatin (Vytorin) 10/40 mg/day, indapamide (Lozol) 2.5 mg/day, and losartan (Cozaar) 50 mg bid. She has scheduled an appointment with the nurse practitioner at the local community clinic.

Questions:

1. Which assessments should be checked and prioritized to check for heart failure?

2. Differentiate signs and symptoms of Right and Left sided Heart Failure. Which is F.D. more than likely presenting with.

3. Discuss the nursing implications and side effects of the three medications listed in the case study.

4. Explain the significance of ejection fraction.

5. Discuss lifestyle teaching about diet, exercise, and smoking and alcohol use with a client with the history listed above.