The spleen takes damaged cells out of circulation. ____

Questions

The spleen tаkes dаmаged cells оut оf circulatiоn. ____

After reаding the аssessment findings the nurse suspects thаt the client has which cоnditiоn? 

A 70 yeаr-оld-mаle client presents tо the clinic fоr а routine appointment. The patient has a history of hypertension.  He reports "tiring easily when walking."  He has been staying home doing a lot of reading.  He reports, "difficulty sleeping, and reports becoming short of breath in the middle of the night." He reports gaining 5 pounds in a couple of days.  He reports his appetite is "normal."  He denies chest pain and is anxious about his condition.  KNDA Medications patient takes at home: Enalapril 20 mg by mouth twice a day Hydrochlorothiazide 25 mg by mouth twice a day Assessment: He is alert and oriented x4, HR regular 102 bpm, and, respiratory rate unlabored, Crackles to the bases, Abdomen soft round non-tender positive bowel sounds x4, skin warm, dry, and intact.  Patient with frequent clear yellow urination and denies pain.   Vital Signs: Temp 98.2 F, Pulse 102, RR 22, BP 150/98  O2 sat 91% on Room air Weight 220 pounds BUN 10 mg/dL (7-20) Creatine 1.5 mg/dL (0.7-1.3) Hemoglobin 12.9 dL ml (13.2- 16.6) Sodium 135 mEq/L (135-145) Potassium 2.8 mEq/L (3.5-5.2) Chloride 95 mEq/L (96-106) *****The HCP ordered a stat CXR and Echocardiogram. and a Brain Natriuretic Peptide (BNP)   Results: CXR showed cardiomegaly and pulmonary edema Results: Echocardiogram revealed an ejection fraction of 38% Results: BNP 520  Considering the test results, and assessment data what could the nurse hypothesize is the patient's diagnosis?