Critical Thinking Questions

Case Scenario
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Mrs. J. is a 63-year-old woman who has a history of hypertension,
chronic heart failure, and sleep apnea. She has been smoking two packs
of cigarettes a day for 40 years and has refused to quit. Three days
ago, she had an onset of flu with fever, pharyngitis, and malaise. She
has not taken her antihypertensive medications or her medications to
control her heart failure for 4 days. Today, she has been admitted to
the hospital ICU with acute decompensated heart failure.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and
faint; all peripheral pulses are 1+; bilateral jugular vein distention;
initial cardiac monitoring indicates a ventricular rate of 132 and
atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of
her admission? Drug therapy is started for Mrs. J. to control her
symptoms. What is the rationale for the administration of each of the
following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart
failure and what can be done in the form of medical/nursing
interventions to prevent the development of heart failure in each
condition.

Taking into consideration the fact that most mature adults take at
least six prescription medications, discuss four nursing interventions
that can help prevent problems caused by multiple drug interactions in
older patients. Provide rationale for each of the interventions you
recommend.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension,
chronic heart failure, and sleep apnea. She has been smoking two packs
of cigarettes a day for 40 years and has refused to quit. Three days
ago, she had an onset of flu with fever, pharyngitis, and malaise. She
has not taken her antihypertensive medications or her medications to
control her heart failure for 4 days. Today, she has been admitted to
the hospital ICU with acute decompensated heart failure.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and
faint; all peripheral pulses are 1+; bilateral jugular vein distention;
initial cardiac monitoring indicates a ventricular rate of 132 and
atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of
her admission? Drug therapy is started for Mrs. J. to control her
symptoms. What is the rationale for the administration of each of the
following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart
failure and what can be done in the form of medical/nursing
interventions to prevent the development of heart failure in each
condition.

Taking into consideration the fact that most mature adults take at
least six prescription medications, discuss four nursing interventions
that can help prevent problems caused by multiple drug interactions in
older patients. Provide rationale for each of the interventions you
recommend.

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Critical Thinking Questions

Critical Thinking Questions.

I need support with this Management question so I can learn better.
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Instructions – PLEASE READ THEM CAREFULLY

  • The Assignment must be submitted on Blackboard (WORD format only) via allocated folder.
  • Assignments submitted through email will not be accepted.
  • Students are advised to make their work clear and well presented, marks may be reduced for poor presentation. This includes filling your information on the cover page.
  • Students must mention question number clearly in their answer.
  • Late submission will NOT be accepted.
  • Avoid plagiarism, the work should be in your own words, copying from students or other resources without proper referencing will result in ZERO marks. No exceptions.
  • All answered must be typed using Times New Roman (size 12, double-spaced) font. No pictures containing text will be accepted and will be considered plagiarism).
  • Submissions without this cover page will NOT be accepted.

Course Learning Outcomes-Covered

CLO Number

Course Learning Outcome

10

Develop numerical skills required for quantitative decisions in complex situations. (4.1)

13

Create a Decision Making and Problem Solving worksheet document. (4.5)

14

Utilize technological tools and graphics as an aid to give visual display to decision making data. (4.6)

15

Identify organized alternatives and select among possible alternative to evaluate business options. (2.10)

Critical Thinking Questions: (Marks 05)

  • You are planning to start an online marketing for your KSA based restaurant chain named as “Al-Mataam.”
  • Create a mind map to identify the essential procedures to carry out an Internet marketing for “Al-Mataam”. [Note: Mind map must be up to three levels]
  • Develop a decision tree to help your online customer to determine what meal to buy from “Al-Mataam”. You may use any attribute you wish (cost, calories,) type of food (Veg, Non-Veg (chicken, Mutton, beef, or Fish)) Regional Food (Arabian, India, Turkish, Chinese, etc).
  • As a CEO of “Al-Mataam” you have to hire a Restaurant Manager for its Riyadh location. You have shortlisted the following five candidates with their skill set.

Yousuf

Amal

John

Ahmad

Julie

Experience in Year

Experience of Restaurant

5

2

3

0

1

Knowledge of service industry

5

4

4

5

3

Business Development Experience

1

3

2

4

4

Leadership Experience

2

2

1

2

3

Computer proficiency

Good

Average

Good

Poor

Excellent

a. Rate each criteria on a scale of 1-5. In this case, 1 is less important and 5 is most important. Based on the weightage and criteria identify the most suitable candidate.

Critical Thinking Questions

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