A 78-year-old patient presents to the emergency room with increased shortness of breath, a persistent dry cough, and tightness in their chest during minor exertion. Physical assessment reveals systolic murmur, and crackles in the lung bases. The patient has a history of aortic stenosis, atrial fibrillation, and left sided heart failure.Vital signs: BP 105/90 mmHgHR 94 bpmSpO2 90% on room air.Which of the following symptoms should the nurse prioritize as an indication that the patient’s life expectancy has significantly decreased without surgical intervention?

The patient now has clear lung sounds, stable vital signs and has returned to baseline status. The nurse is providing discharge education related to lifestyle changes and monitoring for complications related to heart failure and their chronic pulmonary disease.  The nurse instructs the patient to call the clinic if they experience a weight gain of more than [BLANK-1] pounds in one day or [BLANK-2] pounds in one week.

The patient is scheduled for therapeutic phlebotomy, with plans to continue every other week after discharge. The patient asks why they must undergo therapeutic phlebotomy. The nurse states:

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