A 70 year-old-male client presents to the clinic for a routi…
A 70 year-old-male client presents to the clinic for a 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 +3 pitting pedal edema, 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 Which 4 findings are most concerning? Select all that apply