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Reduced gas exchange, related to the patient’s severe CHF and hypoxia, as evidenced by abnormal O2 saturation, use of accessory muscles and patient complaining of short of breath. Excess fluid volume related to decreased renal perfusion secondary to heart failure as evidenced by adventitious breath sounds Risk for Impaired Skin Integrity related to immobility, weakness, and decreased ability to reposition, as evidenced by limited mobility, use of a Foley catheter, and bowel incontinence. what needs to be attendeded first?
SCIENCE
HEALTH SCIENCE
NURSING

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