solved

Mr. R., a 93y/o male, presents as a direct admit to your medical-surgical unit in the hospital from the physician’s office. He presented at the physician’s office with shortness of breath, difficulty ambulating, leg pain and edema. Upon initial assessment, findings are:
3+ pitting edema bilateral lower extremities. Weeping edema bilateral lower extremities with multiple open areas on his legs.
Diffuse crackles throughout lungs Bilaterally. Normal Heart tones.
Vital Signs – BP 180/90, HR 115 and regular, SpO2 78% RA, RR 32, T 98.9
Medications – ASA 81mg PO daily, Lasix 40mg PO daily, Lisinopril 10mg PO daily, KCL-20 1 tab PO daily, Albuterol Nebulizer 2.5 mg/5 ml Q4 hours PRN SOA
EKG – Sinus Tachycardia with the rate of 115
The patient states he has not been taking his “water pill” because it makes him go to the bathroom too much and it is hard for him to get around.
Health Hx – CHF, MI x2 with stents, Bilateral Total Knee Replacements, non-smoker
Address the following questions in your response:
List and prioritize Mr. R’s problems. For each problem, provide rationale for how it is prioritized and any additional data you would need to collect upon admission.
Describe three different nursing interventions that could be used in Mr. R’s case.
Mr. R. wants to continue to live at home with his wife. Discuss health promotion strategies you can provide Mr. R. in order to help him to prevent this from happening again or from getting worse.

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