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The selected disease process is heart failure which occurs when the heart muscle cannot pump enough blood to the body. This condition can result from abnormalities of systolic or diastolic function or both. Although a primary abnormality can be a change in cardiomyocyte function, there are also changes in collagen turnover of the extracellular matrix.

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client scenario:  Janessa, a 41-year-old female client, presents to the NP complaining of shortness of breath, weakness, and dizziness for “about a month.” She denies having a cough or recent illness. She has a history of endometriosis, and her physical assessment reveals her lungs are clear to auscultation bilaterally, and her mucous membranes are pale.

  Directions: Read over the SOAP note and formulate a primary diagnosis.  Based on the diagnosis complete the SOAP note with the details that would be expected for the diagnosis. Use UptoDate and/or Dyna MedPlus to find out what is expected from the history and physical, diagnostic workup and management for the diagnosis. Include other

see attached

  Find a research article related to the care of patients by nurses that does not display data with a graph or chart. For the dependent variable, choose a method for presenting the data and use Excel to display the values given in the article for that variable. Label each axis. Display the illustration using