M4NSG530

The assignment is a discussion board post**Minimum of two scholarly (peer-reviewed)references**References must be within the last 3-5 years** This is a master’s program for nursing;answers should be in the context of nursing**This is a master’s discussion post andshould be written at that level.                             
**Formal scholarly workdoes not include personal pronouns or passive voice** The prompt is below, and all promptcomponents must be in the final writing           
** Reference list entries mustinclude the doi link starting with  …..
** I will attach the grading rubric for reference; please contact me withany questions
**Finished writing will be submitted to Turnitin; similarity score mustbe less than 10%
 

Prompt below:
(In this scenario the patients clinical status has a component of heart failure)

Mrs. K is a 60-year-old white female who presented to the ER with complaints of her heart beating out of my chest. She is complaining that she is having increased episodes of shortness of breath over the last month and in fact, has to sleep on 4 pillows. She also notes that the typical swelling she’s had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she’s been experiencing fatigue and decreased urine output. Her past history is positive for an acute anterior wall myocardial infarction and coronary artery bypass surgery. She was a 2 pack a day smoker, but quit 8 years ago.
On physical examination, auscultation of the heart revealed a rumbling S3 gallop and inspiratory crackles. She has +3 edema of the lower extremities.
1.  Discuss the pathophysiology of an S3 heart sound and include causes for an S3 gallop?

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