Case Study Congestive Heart Failure (Nursing Case Studies: Haws,… Case Study Congestive Heart Failure (Nursing Case Studies: Haws, Haws, Tazkai LLC) Mrs. S., a 63 year old patient who suffered a myocardial infarction last year, is in the cardiac rehabilitation center for follow up after suffering from fatigue and shortness of breath; she complains of a “fluttering” feeling with her heartbeat and she has an occasional productive cough. Mrs. S. normally does not struggle with nighttime urination, but for the past month, she has to get up and use the bathroom 2 to 3 times each night. She has gained 5 pounds in the past week. 1. Mrs. S.’s physician believes that she has developed congestive heart failure after having an MI last year. Which test would most likely be used to confirm the presence of CHF? 2. The nurse performs a physical assessment on Mrs. S. and checks her respiratory rate while listening to her lung sounds. If Mrs. S. has CHF, what signs would the nurse most likely notice when performing a respiratory assessment? After diagnostic testing, Mrs. S. is diagnosed with congestive heart failure. Her physician prescribes oral Lasix for her to take every day to help with some of her symptoms and assists her with starting a program through cardiac rehabilitation where she can exercise on a routine basis and continue to be monitored by health professionals. 3. What type of tests would this patient undergo that would diagnose heart failure? 4. How does Lasix help with congestive heart failure symptoms? 5. What information should the nurse include with teaching Mrs. S. about taking a diuretic medication, such as Lasix? 6. In addition to regular exercise, what other types of lifestyle changes should Mrs. S. implement to control her symptoms of heart failure? Mrs. S. has started taking Lasix and continues with cardiac rehabilitation. She has lost the recent weight she gained and is able to walk a little further than before when using the treadmill. She also does not get up as often during the night to use the bathroom when she takes her Lasix first thing in the morning. However, Mrs. S. still complains of a fluttering feeling in her chest and her blood pressure readings have been elevated. Her las BP at her appointment was 140/88 mmHg. The physician orders Captopril 50mg pot id and has her come back to the clinic in 2 more weeks. 7. What type of drug is Captopril? 8. Why would this type of medication be prescribed for a patient with heart failure? 9. What information is most important for the nurse to give this patient when using this medication? 10. How would Mrs. S know if her medications are working to control her heart failure?Health ScienceScienceNursing NURSIMG MISC

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