Question: B.L. Is A 64 Yr. Old Male Who Has A PMH Of CHF, CAD, A-fib, HTN, HLD, And COPD. During His 2 Day Hospital Stay, He Has Been On The Cardiac Monitor And Is Currently In A-fib (controlled At A HR Of 72). You Have Done A Head-to-toe In The Beginning Of Your Shift And He Has Crackles In His Upper Lobes During Expiration And Diminished Sounds In His Lower ...

B.L. is a 64 yr. old male who has a PMH of CHF, CAD, a-fib, HTN,HLD, and COPD. During his 2 day hospital stay, he has been on thecardiac monitor and is currently in a-fib (controlled at a HR of72). You have done a head-to-toe in the beginning of your shift andhe has crackles in his upper lobes during expiration and diminishedsounds in his lower lungs (bi-laterally). He is on 4L NC and hisSp02 is 94%. In all 4 extremities you notice that he is edematouswith +2 pitting edema. Based on his PMH and your focusedassessment, the priority pt.-centered problem of this pt. is:

Nurse dx:

SMART goal:

3 Interventions (with rationale including pt.education):

Reference for at least 1 intervention:

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