[SOLVED] Module 10 Case Study – The Case of the Coughing Housewife

I’m working on a Health & Medical exercise and need support.

Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
[SOLVED] Module 10 Case Study – The Case of the Coughing Housewife
Get a 15% Discount on this Paper
Order Now

Read the following case study and answer the questions that follow. Submit your answers to this Dropbox.

The Case of the Coughing Housewife

Jessica, a fifty-nine year old mother of four, moved from a ranch in Colorado to Los Angeles, after the death of her husband, to be closer to her oldest son and his family. She has been in Los Angeles for 18 months and has noticed that she is experiencing shortness of breath which has worsened over the last six months. For the last week, she has been coughing and bringing up yellow mucus. She also noticed swelling in her ankles so she decided to visit a physician about her condition.

Jessica’s family and medical history include a negative history of asthma or allergies, lack of occupational or home exposure to asbestos, a previous smoking history (one package of cigarettes per day between the ages of 16 and 52), episodes of bronchitis, treated with antibiotics on an outpatient basis, and a positive history of heart disease (father at 52 and brother at 56). Jessica has no history of serious illness, including heart disease, and her weight is within five pounds of her “desired” weight. She usually coughs in the morning to “clear her throat”, but there is usually only a small amount of white mucus.

Her nurse practitioner conducts a general physical examination with the following results. Jessica’s skin is normal (no rashes or cyanosis) and her nervous system is functioning normally. Her body temperature was 98.4°F while her pulse was regular at 95 beats per minute with an occasional premature beat. Jessica’s blood pressure was within normal limits, however her jugular veins were slightly distended. Her respiratory rate was 28 breaths per minute; she breathed with pursed lips and used her accessory respiratory muscles more than would be expected. Jessica presented with a barrel chest and mild dyspnea when climbing onto the examination table. When listening to her breathing, the nurse practitioner noticed that Jessica had prolonged expiration accompanied by expiratory wheezes. Evaluation of her abdomen indicated no masses or tenderness, but she presented with both hepatomegaly and splenomegaly. All of her extremities were normal with the exception of bilaterally pedal edema.

Based on these results, the nurse practitioner suspected a pulmonary disorder and, after consultation with a physician, ordered laboratory tests (blood and sputum), spirometry and chest x-rays. The results of the laboratory tests were as follows: plasma bicarbonate = 38 mEq/L, hematocrit = 49%, white blood cell count = 9000, pH = 7.38; PaCO2 = 56, and PaO2 = 54. Analysis of the sputum sample indicated the presence of epithelial cells, polymorphonucleocytes and gram positive diplococci. Jessica’s 1 second forced expiratory volume (FEV1) was 1.5 L/sec and her forced vital capacity (FVC) was 4 L. These values were 40% and 83% of normal, respectively. Results of the chest x-ray indicated scarring and hyperinflation of the lungs.

The results of these tests coupled with the physical examination and history lead to a diagnosis of emphysema. Jessica was prescribed antibiotics for the infection and oxygen by nose as well as a ?2-agonist nebulizer as an acute treatment and requested to stay for observation and stabilization. After Jessica’s condition was stabilized she was discharged and given a prescription for an inhaler containing a ?2-agonist to be used as needed. She was also encouraged to exercise regularly and follow the nutritional guidelines she was given. Jessica was also informed that if the symptoms either worsened or did not lessen within the next week, to return and her treatment would be reevaluated and would possibly include nocturnal oxygen and an inhaler containing corticosteroids.

Questions:

  1. What risk factors and symptoms did Jessica present with prior to the physical examination that suggested a pulmonary disorder?
  2. How did the physical examination, chest x-ray, and spirometry confirm this hypothesis?
  3. Identify the muscles involved in respiration.
  4. How are these muscles responsible for the process of ventilation?
  5. If her condition does not progress, why would corticosteroids be used in the inhaler?

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with MyCoursebay
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Nursing
Always perfect!!! Don is the best!
Customer 452453, July 27th, 2021
Other
thanks
Customer 452653, October 31st, 2021
Nursing
Writer went above and beyond. Can't believe how much work they put in for the price.
Customer 452707, July 10th, 2022
Technology
I can work with it and massage it to what I need. Thank You
Customer 452827, July 19th, 2022
Social Work and Human Services
Great Work !!!
Customer 452587, November 9th, 2021
Social Work and Human Services
Excellent Work
Customer 452587, November 22nd, 2021
Other
good
Customer 452813, June 30th, 2022
Other
GREAT
Customer 452813, July 3rd, 2022
Nursing
Thank you MyCoursebay team for your support. With your help I got an A for my past courses
Customer 452635, May 7th, 2022
Wellness
The skilled writer did a great job on assignment!! Thank you!!
Customer 452547, June 16th, 2021
Nursing
Amazing work! I passed the assignment!
Customer 452707, August 20th, 2022
Nursing
Great paper!
Customer 452707, July 1st, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
NEW

Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now