Drug therapy of IV furosemide, enalapril, metoprolol, and morphine sulphate was started for Mrs. J to control her symptoms.

Mrs. J is having some serious symptoms at the time of her admission and the appropriate nursing interventions for her will be taking her vital signs, performing a systematic assessment to prioritize care in an appropriate manner, finding the cause of her current symptoms, and initiating an appropriate treatment. In addition, patients presenting with acute dyspnea from acute decompensated heart failure (ADHF) should be rapidly assessed and stabilized (Colucci, 2017). Some of initial laboratory testing’s that must be completed are CBC, UA, serum electrolyte levels, liver function tests, BNP, NT-proBNP, ECG, chest radiography, cardiac troponin T and I, TSH and lipid profile. Managing her low oxygen saturation of 82% will be the first priority based on the airway, breathing, and circulation rule used by medical professionals. To control her shortness of breath and oxygen saturation of 82%, Mrs. J will require a non-rebreather facemask to deliver high-flow percent oxygen. Also, she will need to be in a seated posture to help her with her breathing and the volume overload based on her symptoms of all peripheral pulses of 1+, bilateral jugular distention, pulmonary crackles, and coughing. As presented in the scenario, Mrs. J is having many organ system complications. She is having respiratory, cardiovascular, and gastrointestinal problems that are causing her current health condition. She is experiencing acute decompensated heart failure that requires rapid care in the ICU where she will be continuously monitored. For this, Mrs. J will require continuous cardiac monitoring to prevent further threatening conditions. Also, administration of multiple drugs to control her symptoms will be required. Mrs. J needs supplemental oxygen to manage her shortness of breath, ionotropic agents to increase the strength of muscular contraction of her heart, diuretics to reduce edema and volume overload, and vasodilators to improve cardiac output, hemodynamics, and symptoms.