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Question
The nurse is caring for a 68-year-old patient brought to the emergency department with worsening shortness of breath and fatigue. The nurse reviews the patient's assessment data to prepare the plan of care. Complete the bowtie by dragging and dropping the condition the patient is most likely experiencing, two interventions the nurse would perform/anticipate related to the condition, and two parameters the nurse would monitor. Client Data History and Assessment 10/15/XX History of diabetes mellitus, aortic stenosis, and GERD. Previous hospitalization for MI with stent placement. Awake and alert, oriented x4. Reporting increasing shortness of breath, dyspnea, and lightheadedness. PERRLA; moves all extremities and follows all commands. Lungs clear to auscultation. Nurses' Notes 10/15/XX 0730 The patient was brought to the emergency department by his daughter who reports that her father has been more fatigued than normal over the last few days. Patient reports "feeling like I could pass out." Vital Signs 6/15/XX 0730 Temp. 100.2°F (37.8°C) HR 43 beats/min, regular RR 28 breaths/min SpO2 94% on room air Blood Pressure 85/48 mm Hg (MAP 60) Laboratory Results 6/15/XX 0825 WBC - 6.2 cells/L (3.4 - 9.6 cells/L) RBC - 4.5 cells/L (4.3 - 5.6 cells/L) Platelets - 210 cells/L.
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