Question: Case Study: Care Of A Patient With Cardiovascular Disease The Nurse Is Performing An Admission Assessment For Mr. Parrott, A 78-year-old Man With A History Of Cardiovascular Disease And Hypertension. He Takes 20 Mg Of Furosemide And 5 Mg Of Zestril Daily. He Was Seen In The Physician’s Office Today Reporting Swelling In His Feet, Shortness Of Breath …

Case Study: Care of a Patient with Cardiovascular Disease The nurse is performing an admission assessment for Mr. Parrott, a 78-year-old man with a history of cardiovascular disease and hypertension. He takes 20 mg of furosemide and 5 mg of Zestril daily. He was seen in the physician’s office today reporting swelling in his feet, shortness of breath while playing golf, awakening at night unable to catch his breath, and “eeling” his heart beating in his chest Mr. Parrott’s blood pressure is elevated, and there is no auscultatory gap. A third heart sound is present. His chest x-ray shows cardiac hypertrophy. There are adventitious sounds in both lower bases. He has gained 10 pounds in the past 2 weeks. A urinalysis is normal. His ECG is normal with evidence of slight cardiomyopathy 1. Which assessment finding would the nurse determine to be of the highest priority for intervention? 2. Mr. Parrott was admitted to the hospital, where his condition continues to decline and progresses to pulmonary edema. The patient asks the nurse. “Am I going to die?” How should the nurse respond? What approaches should the nurse utilize when discussing the end of life? 1. Which assessment finding would the nurse determine to be of the highest priority for intervention? 2. Mr. Parrott was admitted to the hospital, where his condition continues to decline and progresses to pulmonary edema. The patient asks the nurse. “Am I going to die?” How should the nurse respond? What approaches should the nurse utilize when discussing the end of life? 3. The conversation between Mr. Parrott and the nurse continues: Mr. Parrott states, “My doctor said that I only have about 2 months to live.” Should the nurse discuss advance directives with the patient? If so, what approaches should the nurse utilize when discussing his wishes? What members of the inter-professional team could be consulted for transition management?