It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.Evaluate the Health History and Medical Information for Mrs. J., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. 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. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.Subjective DataIs very anxious and asks whether she is going to die.Denies pain but says she feels like she cannot get enough air.Says her heart feels like it is "running away."Reports that she is exhausted and cannot eat or drink by herself.Objective DataHeight 175 cm; Weight 95.5kg.Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.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.Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.InterventionThe following medications administered through drug therapy control her symptoms:IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Inhaled short-acting bronchodilator (ProAir HFA)Inhaled corticosteroid (Flovent HFA)Oxygen delivered at 2L/ NCCritical Thinking EssayIn 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:Describe the clinical manifestations present in Mrs. J.Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.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 a rationale for each of the interventions you recommend.Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients' transition to independence.Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.'s current and long-term tobacco use, discuss what options for smoking cessation should be offered.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Project: Creating a PresentationYou have been working for the city's Department of Sustainability. In your job, you teach the city's residents to adopt a "greener" lifestyle—one that is environmentally friendly. Your task this week is to present information to high-school students to let them know what they can do to help.DirectionsStep One: Do some research on the Internet for information about plants and animals that have become extinct or endangered because of loss of habitat. In addition, research habitats have changed radically over the last few decades. Take notes. You may also want to search for photos of plants and animals that have become extinct and for habitats that have changed.Step Two: Create an outline for your presentation. You will want to include the following information in your presentation:information about plants and animals that have become extinct or endangered because of a loss of habitatinformation about habitats that have changed radically over the last few decadesways students can lead a "greener" lifestyleRecycle. There are many things you use each day that can be recycled. Some of these include paper, plastics, glass, and aluminum cans.Conserve water. Take shorter showers. Turn off the water when brushing your teeth. This will reduce the amount of water that you use.Don't pollute. Hold on to that helium balloon. Balloons that are released into the air can kill wildlife. Animals swallow the balloons, causing them to suffocate or starve.Use energy wisely. Replace your incandescent light bulbs with fluorescent bulbs. They are more efficient than regular light bulbs. Turn off the lights, computers, and music when you're not using them.Reduce consumption. Use both sides of the paper when taking notes in class. If your printer has a feature that lets you print on both sides of a sheet of paper, use it.Step Three: Create the slides for the presentation. Include text, graphics, and special effects such as animation and transitions. Optionally, you may also include other multimedia such as audio and video if appropriate. Be sure to apply presentation guidelines. Save your work as yourname_presentation_project (Replace "your name" with your name. If your name were John Doe, you would save your project as john_doe_presentation_project). When the presentation is complete, upload your file using the Upload button below.