Medical History And Physical Medical Careful Examination

NURSING
Name of Student
Institution Affiliation

QUESTION ONE
Heart failure is a serious medical condition requiring appropriate and timely diagnosis.
Diagnosis of heart failure entails review of symptoms, taking of medical history and physical
medical careful examination. Nurses play an important role in the determination of heart failure
in patients. For Mr. Song, one of the priority nursing diagnosis would be decreased cardiac
output which is largely associated with Heart failure Araújo, Nóbrega & Garcia, 2013).
Decreased cardiac output refers to a situation whereby the heart fails to pump adequate
blood to meet body’s metabolic demands. This would be a priority diagnosis for the patient. In
this regard, the failure by the right ventricle to pump an adequate volume of blood into the lungs
may lead to fluid accumulation in the abdomen, Jugular veins and the liver l. Another priority
nursing diagnosis would be activity intolerance. Activity intolerance arises whereby the body
lacks sufficient psychological; and physiological energy to undertake necessary day-to-day
activities (Araújo, Nóbrega & Garcia, 2013).
Treatment of these diagnosis requires multipole interventions by a nurse. For decreased
cardiac output a nurse would need to closely monitor the intake of fluids and restrict fluids when
necessary. Secondly, a nurse would also need to record output and intake rates including hourly
urine output while noting the decrease in output. Thirdly an assessment of chest pain including
its duration, quality, severity, radiation and location would also be an effective strategy (Martins
& Rabelo, 2010).
Some of the interventions for activity intolerance include having the patient carry out the
required activities slowly in an extended duration with time for resting. Secondly, the patient
may also be refrained from performing activities that are not essential. The final strategy would