Thinking about your role as a leader or future leader in health care and considering your personal experiences with a supervisor or manager, consider the following:   •What issues or shortcuts are the most difficult to address with a colleague?   

•What are some professional ways to communicate difficult topics such as tardiness, medication errors, or incivility?   

•What makes people defensive about feedback?   

•What steps would you take to improve communication with somebody you supervise to reduce challenges and defensiveness?    

Write a succinct initial post of at least 150 words. Demonstrate clarity of thought and precision in writing. Support your discussion with at least two references

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.

Hyperlipidemia and Related Disorders

One of the topics that are covered in Unit VI is hyperlipidemia and related disorders. Hyperlipidemia is a condition that is characterized by an increase in the plasma cholesterol or triglycerides containing lipoprotein particles. In this Article Critique, using the CSU Online Library, you will select an article that discusses recent research updates and/or findings on the management of hyperlipidemia. The article should be between three-five years of publication.

Your critique of the article should include the following:

 An introduction

 A summary of the article’s main research findings or main points

 What is the author(s) intended audience?

 Discuss of whether the article contributes to the current knowledge of the management/treatment of

hyperlipidemia

 Future directions for research (if any are indicated)

 A paragraph on what you learned from the article that were previously unaware

 Other questions about the article that relate to the unit objective

Your assignment must be in APA format and approximately two pages in length (not including the title and reference page.) Be sure to cite all paraphrase and quotations appropriately.

For more information regarding how to write article critiques, click here to view the Success Center’s webinar titled, Article Critique.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below

Select 3 (three) of the following information systems:

• Radiology
• Emergency
• Surgical
• Dental
• Pharmacy

Create a 10- to 15-slide Microsoft® PowerPoint® presentation with speaker notes describing the informational systems selected.

Include the following for each system in your presentation:

• Define the information system.
• Discuss its purpose and use.

Create a 1-page handout to accompany your presentation.

Cite a minimum of 1 outside source such as a textbook or required reading article.