The home care nurse is seeing a 68-year-old Vietnamese woman for an initial visi
ID: 245410 • Letter: T
Question
The home care nurse is seeing a 68-year-old Vietnamese woman for an initial visit. The patient was discharged from the hospital with a diagnosis of congestive heart failure (CHF). The home health nurse notices the patient's blood pressure is elevated, and the patient has a productive cough. The patient speaks very little English. However, the patient's daughter is present and able to interpret. The nurse completes a full health assessment, including a review of medications, and notes that the patient was prescribed a diuretic and a beta-blocker to regulate blood pressure. The daughter shares with the nurse that her mother does not like taking medications and chooses to take herbal remedies instead. Upon assessment, the patient's vital signs are T 98.6 P 76 R 20 BP 160/80,02 saturation 94%. The patient's lungs are positive for scattered rhonchi in the upper bases, clear in the lower bases, rhonchi clear with a cough. The patient's heart rate is regular with no audible mummers, +2 edema bilateral in the lower extremities. The patient denies pain. Directions: Please read the case study and answer the following questions. Make sure to copy the case study scenario and question into a word document, answer the questions answer the questions in complete sentences, and upload it to Canvas. 1. Based on the information presented by the patient's daughter, what are the most likely cause of the elevated blood pressure, edema, and rhonchi? 2. What interventions should the nurse incorporate into the plan of care for this patient? 3. What steps does the nurse need to take to become culturally competent? 4. What interventions can the nurse include to provide care that reflects an acceptance of the patient's health and illness beliefs and practices?Explanation / Answer
1:-Patient is not taking the medication properly thats why his blood pressure elevated.High blood pressure places you at risk for heart failure, coronary artery disease, stroke and end-stage kidney disease and, according to the Centers for Disease Control and Prevention, nearly 1/3 of American adults have hypertension, but only about 1/2 of them have their blood pressure controlled. Hypertension usually does not cause symptoms until it produces end-organ damage, which can involve your eyes, heart, kidneys, nervous system or arteries. If you have high blood pressure, swelling, also called edema, in the feet and legs could be a sign of end-organ damage.teach the client and his daughter abouth the importance of the drug and about the benifit of regular check up in hospital instead of remedies.
2:-The careplan should be perfect that can motivate the client to take medication in right order.
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