Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days.

Appropriateness of the Nursing Interventions at the time of Admissions and Medication Rationale

The nursing interventions at the time of admission addressed the patient’s chronic conditions. In particular, Mrs. J. had not taken her prescription medication for three days before admission. Therefore, administering the medications and oxygen to address the daily requirements under chronic conditions is essential. Moreover, the patient’s vital signs play a crucial role in deciding what nursing interventions are appropriate and the most required. At the time of admission, Mrs. J.’s oxygen saturation is low and decreased to the point of 82%; her heart rate is high with 118 beats per minute, and her blood pressure is low at 90/58. Therefore, the interventions and medications are appropriate since they were aimed at stabilizing the vital signs of the patient.

In particular, Mrs. J. was administered IV furosemide, enalapril, metoprolol, IV morphine sulphate, inhaled short-acting bronchodilator, inhaled corticosteroid, and oxygen delivered at 2L/ NC. Furosemide administered intravenously helps regulate fluid accumulation caused by heart failure. Enalapril is commonly used with furosemide to address hypertension. Metoprolol stimulates blood flow and is aimed to help with blood pressure. IV morphine sulphate is administered to manage pain in the patient. As for the oxygen, bronchodilator and corticosteroid administered for inhalation are aimed at regulating lung function, normalize oxygen saturation, and cure inflammatory processes in the respiratory system.

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