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A client presents to the emergency department (ED) with a chief complaint of shortness of breath for months that has worsened in severity in the last 2 days. On further questioning, the client reports bilateral lower extremity swelling, 3-pillow orthopnea, fatigue, wrist pain, headaches, and numbness in the extremities. The client has a history of diabetes, hypertension, and coronary artery disease status post stent placement 2 years ago. The client states that food and fluid intake is normal. The client is alert and oriented. He is moving well but slowly. The client reports dyspnea upon walking and climbing stairs. Vital signs: Temperature 98.6°F (37°C), Heart rate of 78 beats per minute, Respiratory rate of 18 breaths per minute, Blood pressure of 162/90, and Pulse oximetry reading of 96%.
SCIENCE
HEALTH SCIENCE
NURSING

 
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