Please respond to this classmates’ post. To start, I found that the scenario was realistic. It was relatively easy to recognize the symptoms and to see the case findings. During the assessmen
Please respond to this classmates’ post.
To start, I found that the scenario was realistic. It was relatively easy to recognize the symptoms and to see the case findings. During the assessment, for example, I heard crackles at the base of the lungs bilaterally, pitting edema on the bilateral lower extremities, and the CXR finding showed pulmonary edema. At first, it was a little tricky for me to hear the heart sound and to determine its characteristic, but I finally got to it. It took me some time to get it, however. Although from my study, I knew that heart failure patients often present with the S3 sound, it was still challenging for me.
Next time, I will be more cautious in assessing my patient and focus more on my nursing management. For example, suppose I have to carry a patient like Mr. Granger. In that case, I will primarily manage the patient in relieving signs and symptoms of fluid overload, anxiety, and fatigue. I will also promote physical activity, teaching the patient about dietary restrictions and self-monitoring heart failure symptoms. In addition, I will manage the patient to increase medication compliance and decrease the adverse effects of medication. When assessing my patient, I will center and focus on asking more relevant questions. I was not surprised because I was aware I missed some of my assessments, but I am trying to adjust.
This was a very instructive scenario; I learned a lot from it. For example, I have been giving Hydralazine for a long time, and most of my African American patients with heart failure are taking hydralazine. However, from the scenario, I learned that African Americans are recommended to be prescribed Hydralazine. I also had the opportunity to visualize the plaque in the coronary artery from the video. It was a very familiar scenario.
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