Read the following case scenario of a 67-year-old man and re…
Read the following case scenario of a 67-year-old man and refer to the case scenario to answer the question that follows. Medical/Surgical History: Hypertension for 10 years, treated with medications. Colon polyps removed 3 years ago. Social History: Denies smoking cigarettes, drinking alcohol, or using illicit drugs. Recently retired from management in a large international corporation.Family History: Mother died of a heart attack at age 73 years. Sister died at age 49 years of heart disease. Father is alive with heart disease.Physical Assessment: Came to clinic for increasing shortness of breath and fatigue during his daily 2-mile walk. Requires two pillows to sleep at night. Intermittent dry cough noted. BMI 34, weight up 10 pounds since last visit 1 month ago. Alert and oriented. Mild diaphoresis. Lungs with bilateral crackles; S1, S2 heart sounds with an occasional irregular beat; abdomen rounded and taut; 3+ pedal pulses with 2+ edema of both lower extremities. BP 140/86, pulse 88, respirations 24, SpO2 94% on room air, chest pain 2/10 on a 0-10 scale..Medications: Captopril 25 mg daily Place a check mark to indicate whether each of the findings for this client’s assessment are associated with left sided heart failure, right sided heart failure, or both. Signs/ Symptoms Left Sided Right Sided Both +2 edema in bilateral lower extremities Crackles in bilateral lung bases Chest pain Fatigue Tachypnea and cough Ascites
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