ATI- Video Case Heart Failure
Video Case Studies HEART FAILURE
1. Describe the pathophysiology related to heart failure.
Since the heart may not be able to supply tissues with enough blood to meet their metabolic needs,
heart failure can result in organ congestion. This is also true because pulmonary or systemic venous
pressures may rise as a result of heart failure.
2. In the Video Case Study, what was the client’s primary problem related to heart failure? Provide an
evidence-based rationale to support your response.
Mr. Stone has not been taken his prescribed medication of Hydrochlorothiazide for his hypertension.
When hypertension goes untreated it can lead to organ damage, which is seen later. Organ damage can
include retinal damage, renal damage, stroke, myocardial infraction, and cardiac hypertrophy. He has
shortness of breath, paroxysmal nocturnal dyspnea, and recent weight gain. All these can play a role in
the development of heart failure.
3. Based on the Video Challenge, what interventions should you anticipate and prepare for upon Mr.
Jones’ arrival at the unit?
To elevate Mr. Jones into a high Fowler's position, check his vital signs, LOC, and O2sat levels, check for
chest pain, and recommend deep breathing exercises are the main nursing objectives for Mr. Jones.
Because Mr. Jones is immobile as a result of his infection, these nursing measures will help to promote
care and stop further injury.
4. What assessment findings (vital signs, laboratory results, diagnostic test results, subjective and
objective assessment) do you anticipate related to this client’s primary problem?
Mr. Stone laments his increased exhaustion, breathlessness, paroxysmal nocturnal dyspnea, and weight
gain. These are all warning indications and symptoms that his heart failure might be present. The patient
is alert and oriented. His bp was 168/96 mmHg, the temperature was 98.4, pulse 98/min and RR was
22/min. Oxygen saturation 90% on room air and increased to 94% with oxygen at 2 liters/min, per nasal
cannula. His pulse and RR are on the higher end of the normal range, and his blood pressure was
increased. Chronic hypertension promotes the expansion of the left ventricle, which ultimately leads to
heart failure (both systolic and diastolic). Eccentric hypertrophy raises the myocardium's oxygen
demand, which might result in ischemia symptoms like angina.
5. Identify a minimum of three nursing actions that should be included in a plan of care to address the
client’s primary problem. Provide an evidence-based rationale for each action.
Monitor your I&O. Keep an eye out for SOB and exertional dyspnea. Give patients oxygen as indicated.
observe the hemodynamic pressures and the vital signs. being positioned in the high- fowlers. ABGs,
electrolytes, SaO2, and the results of the chest x-ray should all be checked. Pay attention to drug
toxicity. Encourage bed rest and energy conservation. Retain the dietary restrictions that are advised.
communications for therapeutic purposes.
6. For which potential complications (vital signs, symptoms, medication side effects) should the nurse
monitor?
Video Case Studies HEART FAILURE
1. Describe the pathophysiology related to heart failure.
Since the heart may not be able to supply tissues with enough blood to meet their metabolic needs,
heart failure can result in organ congestion. This is also true because pulmonary or systemic venous
pressures may rise as a result of heart failure.
2. In the Video Case Study, what was the client’s primary problem related to heart failure? Provide an
evidence-based rationale to support your response.
Mr. Stone has not been taken his prescribed medication of Hydrochlorothiazide for his hypertension.
When hypertension goes untreated it can lead to organ damage, which is seen later. Organ damage can
include retinal damage, renal damage, stroke, myocardial infraction, and cardiac hypertrophy. He has
shortness of breath, paroxysmal nocturnal dyspnea, and recent weight gain. All these can play a role in
the development of heart failure.
3. Based on the Video Challenge, what interventions should you anticipate and prepare for upon Mr.
Jones’ arrival at the unit?
To elevate Mr. Jones into a high Fowler's position, check his vital signs, LOC, and O2sat levels, check for
chest pain, and recommend deep breathing exercises are the main nursing objectives for Mr. Jones.
Because Mr. Jones is immobile as a result of his infection, these nursing measures will help to promote
care and stop further injury.
4. What assessment findings (vital signs, laboratory results, diagnostic test results, subjective and
objective assessment) do you anticipate related to this client’s primary problem?
Mr. Stone laments his increased exhaustion, breathlessness, paroxysmal nocturnal dyspnea, and weight
gain. These are all warning indications and symptoms that his heart failure might be present. The patient
is alert and oriented. His bp was 168/96 mmHg, the temperature was 98.4, pulse 98/min and RR was
22/min. Oxygen saturation 90% on room air and increased to 94% with oxygen at 2 liters/min, per nasal
cannula. His pulse and RR are on the higher end of the normal range, and his blood pressure was
increased. Chronic hypertension promotes the expansion of the left ventricle, which ultimately leads to
heart failure (both systolic and diastolic). Eccentric hypertrophy raises the myocardium's oxygen
demand, which might result in ischemia symptoms like angina.
5. Identify a minimum of three nursing actions that should be included in a plan of care to address the
client’s primary problem. Provide an evidence-based rationale for each action.
Monitor your I&O. Keep an eye out for SOB and exertional dyspnea. Give patients oxygen as indicated.
observe the hemodynamic pressures and the vital signs. being positioned in the high- fowlers. ABGs,
electrolytes, SaO2, and the results of the chest x-ray should all be checked. Pay attention to drug
toxicity. Encourage bed rest and energy conservation. Retain the dietary restrictions that are advised.
communications for therapeutic purposes.
6. For which potential complications (vital signs, symptoms, medication side effects) should the nurse
monitor?
