(Solved): Scenario: A 62-year-old man presents to the emergency department with complaints of fatigue, hackin ...

Scenario: A 62-year-old man presents to the emergency department with complaints of fatigue, hacking cough, and shortness of breath for the past 3 days. He has a past medical history of myocardial infarction 8 months ago and osteoarthritis in the left hip. He quit smoking tobacco 6 months ago and denies the use of alcohol consumption. His current medications include atorvastatin \( 40 \mathrm{mg} \) QD. ASA \( 81 \mathrm{mg} Q D \). lisinopril \( 10 \mathrm{mg} \) QD, ibuprofen \( 600 \mathrm{mg} \) prn for hip pain. The nurse documents the following assessment findings: - Apical pulse palpated at the \( \mathrm{R} \) mid-clavicular border, 6th intercostal space - Heart rate \( =98 \) - Reports 1/10 pain on a 0-10 pain scale - Blood pressure \( =134 / 88 \mathrm{mmHg} \) - Reports \( 8 \mathrm{lb} \) weight gain over past 7 days, current weight \( 202 \mathrm{lbs} \) - Fine crackies auscultated in the bilateral lower lobes of the lung - \( \mathrm{SpO}, 92 \% \) on room air - Reports increased difficulty breathing when lying flat in the bed - Reports he recently completed treatment for conjunctivitis 2. Select words from the choices in the table below to fill in each blank found in the following sentence: The nurse recognizes that the client's symptoms may be related to his recent 1 which puts that client at an increased risk for ___ M__ Manifestations of this condition result from 3 Scenario: Thirty minutes later, the prescriber places orders for compression stockings, a \( 2 \mathrm{~g} \) low-sodium diet, \( 2 \mathrm{~L} \) fluid restriction, intravenous (IV) access, oxygen via nonrebreather mask at \( 10 \mathrm{~L} \mathrm{~min} \), and blood work to further evaluate the client's condition. While placing the IV, the nurse notices the patient sitting forward in the tripod position with a respiratory rate of 24 and an \( \mathrm{SpO}: 89 \% \) on room air. The client is now having difficulty speaking in complete sentences and pauses frequently when communicating with the nurse. He reports he is hungry because he skipped breakfast this morning to come right to the hospital and is also requesting something for pain, the arthritis in his left hip is becoming uncomfortable on the hospital mattress. He rates his pain as \( 4 / 10 \) on a \( 0-10 \) pain scale. 3. Select the appropriate priority for each nursing action with consideration to the client's Address pain. Educate patient on fluid restriction. Alert prescriber of change in respiratory status. Apply compression stockings. Scenario: The prescriber orders include continuous telemetry monitoring, buprofen \( 600 \mathrm{mg} P O \times 1 \), and an order for diuretic therapy. IV push furosemide \( 20 \mathrm{mg} \times 1 \). One hour later, the client 's breathing stabilized after the nonrebreather was applied and he is transitioned to nasal cannula \( 4 \mathrm{~L} \) min He is admitted to a cardiac telemetry floor for further testing and observation Upon admission to the telemetry floor, the nurse documents the following assessment finding: Apical pulse palpated at the \( R \) midclavicular border, 6th intercostal space Heart rate \( =88 \mathrm{bpm} \) Reports 210 pain on a 0-10 pain scale Blood pressure \( =142.90 \mathrm{mmHg} \) Current weight \( 200 \mathrm{Jb} \) Bilateral lungs clear to auscultation \( \mathrm{SpO}_{2} 98 \% \) on 4 nasal cannula Patient sleeping in supine position Patient speaking to staff in complete sentences IV site in \( \mathrm{R} \) antecubital patent