How to Answer Concept Care Nursing Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to concept care nursing and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves concept care nursing. A strong answer should include explanation, application, and examples.
Original Question
Concept Care Map in Nursing: Case Study Anna Gilford, a 69-year-old female, presents to the ED with pallor, dyspnea, and distended neck veins. She denies chest pain but admits to chest “pressure.” Her husband states she has been short of breath for 3 days, with increasing difficulty sleeping, resulting in her spending the previous night in a recliner chair. He also notes that swelling of her feet is worse this morning and that he could not put her slippers on. Mrs. Gilford reports her height is 5’1” and weight 162 lb. In the ED, her current weight is 175 lb, an increase of 13 lb above her stated weight. Mr. Gilford indicates his wife has not been following any specific dietary plan and does not monitor her blood pressure at home. She has a history of hypertension and coronary artery disease. Medications include Benicar HCT 40/35 daily, Toprol XL 100 mg/d, Lasix 40mg/d, and potassium supplement, which her husband states she needs refilled and has not taken for a week. Vital signs are B/P 198/102, pulse 120 thready and slightly irregular, respirations 34; pulse oximetry 79% on room air. Auscultation of the lungs reveals crackles throughout both lower lobes, and a moist-sounding cough is nonproductive. Mrs. Gilford is placed on oxygen at 4 L/m by nasal canula. Following a chest x-ray, which shows pulmonary congestion and a moderately enlarged heart, Mrs. Gilford is admitted to the telemetry floor. You receive these STAT laboratory results—BNP level is 1046, and potassium is 2.8. An ECG report is pending. To help with this case study, some information below can be vital: Coronary artery disease is the narrowing or blockage of the coronary arteries. This condition is usually caused by atherosclerosis. Atherosclerosis is the build-up of cholesterol and fatty deposits (called plaques) inside the arteries. The coronary arteries supply blood, oxygen and nutrients to your heart. A buildup of plaque can narrow these arteries, decreasing blood flow to your heart. Eventually, the reduced blood flow may cause chest pain (angina), shortness of breath, or other coronary artery disease signs and symptoms. Brain natriuretic peptide (BNP) test is a blood test that measures levels of a protein called BNP that is made by your heart and blood vessels. BNP levels are higher than normal when you have heart failure. BNP levels below 100 picograms per milliliter (pg/ml) are considered normal. Levels above 400 pg/ml are considered high. It is critical to the proper functioning of nerve and muscles cells, particularly heart muscle cells. Normally, your blood potassium level is 3.6 to 5.2 millimoles per liter (mmol/L). A very low potassium level (less than 2.5 mmol/L ) can be life-threatening and requires urgent medical attention. Benicar HCT (olmesartan medoxomil-hydrochlorothiazide) is a combination of an angiotensin II receptor antagonist and a thiazide diuretic (water pill) used to treat high blood pressure (hypertension). Metoprolol succinate is also known by the brand name Toprol XL. It is the extended-release form of metoprolol. Metoprolol succinate is approved to treat high blood pressure, chronic chest pain, and congestive heart failure. Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure.
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