[Solved]: Learning Outcomes: Identify the focused assessment of…

Learning Outcomes: Identify the focused assessment of a patient with heart failure exacerbation. Describe priority nursing interventions for a patient with heart failure. Discuss adverse effects of commonly prescribed heart failure medications. Review health promotion and maintenance for patients at risk for heart failure exacerbations. The patient is Ivan, a 67-year-old male who is being transferred from the ED to the Medical Unit for acute exacerbation of heart failure. He has a history of congestive heart failure (CHF) and hypertension, coronary artery disease and hyperlipidemia. In the ED, the patient reported fatigue, shortness of breath, especially at night and when walking. He also had swelling of his ankles and feet. The patient shared that the last time he took his prescribed medications was 7 days ago. His prior to admission medication list is: Lisinopril 20 mg PO daily Metoprolol CR/XL 100 mg PO daily Atorvastatin 80 mg PO daily Furosemide 20 mg PO daily Spironalactone 50 mg PO daily Aspirin 81 mg PO daily, CAD His current vital signs are: Blood pressure (BP) – 152/101 Heart Rate (HR) – 104/min, regular Respiratory Rate (RR) 32/min SpO2 – 91% on 2L via nasal cannula Temperature -37 C