Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

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

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

Objective Data

1. Height 175 cm; Weight 95.5 kg
2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3. Cardiovascular: Distant S1, S2, S3 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
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5. 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?

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. 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.

Films Media Group (2012). Nonverbal Expressions of Power and Dominance (01:53) From Title: TEDTalks: Amy Cuddy—Your Body Language Shapes Who You Are. Watch/read link then comment. This is a discussion question, not a paper. Minimum of 150 words. Cite all work. Username: trudnick; Password: Redeemed12

Conduct research and use the links below to locate a reputable nonprofit organization that serves people and the community as a servant leader:

1. https://topnonprofits.com/lists/best-nonprofits-on-the-web/
2. https://www.charitywatch.org/top-rated-charities
3. http://www.tampabay.com/americas-worst-charities/
4. http://www.charitynavigator.org/index.cfm?bay=content.view&cpid=521#.VgsXP_lVhBc

Create a poster, PowerPoint presentation, brochure, YouTube video, etc. that illustrates how the nonprofit organization puts servant leadership into action. Within the informational piece, include written or verbal documentation of the following:

1. Specific information about the servant leadership principles employed by the organization
2. Examples of how implementing servant leadership principles has helped the organization achieve success while having a positive impact on people and the community.
3. Discussion of which servant leadership principles you recognize as most valuable and would consider integrating within your own organization.

Submit your assignment as a Word document, PowerPoint presentation, a PDF file, or YouTube video link.

APA format is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

As you prepare to write your response to this discussion assignment, you may want to review the following resources as these will help you in developing a topic:

• Develop a Research Topic
• Incorporate Sources into Your Research Paper

It is also recommended that you review these tutorials from the Ashford University Library:

• Searching in Databases
• Evaluating Sources

You may also want to review the Week Five Sample Final Paper Guide, so that you can start preparing your rough draft that is due in Week Four.

Reflect: When considering a research topic, consider an interesting topic that is worth further research. For instance, having a strong opinion on a specific topic may deter you from thinking more critically, and therefore the research might end up being one-sided. It is a good idea to pick a topic in which you can provide a good argument for both sides of the societal issue.

Write: For this discussion you will address the following prompts:

• Identify two global societal issues from the following list that you would consider researching further for your Week Five Final Argumentative Essay: adult illiteracy, funding for General Education vs STEM in primary and secondary schools, minimum wage, oceans desertification, overcoming the digital divide, refugee (escaping persecution, war, or death) crises, species extinctions (modern), tax havens, Transatlantic Trade and Investment Partnership (TTIP), universal statement of human rights (pick one), airport security, or wealth disparity.
• Describe effective methods you used in identifying and narrowing down to just one of the two topics to further research for your final essay.
• Explain three ways you can critically analyze sources to determine if they are scholarly and credible.
• For one of the topics chosen, summarize information from at least two peer-reviewed journal articles from the Ashford University Library that will support your claims.
• Explain why scholarly sources should be used to support your writing on the selected topic.
• Download and attach PDF copies of the two articles that you found from the Ashford University Library to your answer using the “Attachments: Add/Remove” function located below your response. Please view this Attaching Documents to Discussions tutorial for more guidance on how to attach your article to your discussion post. You can also view this Citing and Saving Articles in FindIt@AU tutorial if you are unsure how to save articles found from the Ashford University Library.

Your initial post should be at least 250 words in length, which should include a thorough response to each prompt. You are required to provide in-text citations of applicable required reading materials and/or any other outside sources you use to support your claims. Provide full reference information of all sources cited at the end of your response. Please use correct APA format when writing in-text citations and references.

Please look at the attachment that are named Homework1, homework2, and homework3. Also, there are some information on the memo.

I need to have the same as the sample.

One and half page length, single space, 12 font.

three sources maximum. Recommended sources: NASDAQ. http://www.investopedia.com. I need to have some information from these two sides.

Also, look at the Evaluation Memo that I did, you may use these information on the new documents, but please provide the paper with a strong evidence about these two companies.