Chief Complaint:The patient reports feeling fatigued and exp…

Chief Complaint:The patient reports feeling fatigued and experiencing frequent headaches for the past week. They also report generalized muscle weakness, which has worsened over the past few days. The patient notes that they have gained approximately 6 pounds (2.72 kg) over the last 5 days and states, “I need to sleep in my recliner at night because lying flat makes it hard to breathe.” Past Medical History: Hypertension Type 2 Diabetes Mellitus CHF Vital Signs at Admission: Blood Pressure: 120/80 Pulse: 104 bpm (apical, regular) Respiratory Rate: 24 breaths/min Temperature: 98 oral O2 Saturation: 95% RA The nurse collaborates with the team on the plan of care.  Select 4 goals the nurse recognizes must be included in the plan of care.

A nursing report on a newly admitted patient who is profound…

A nursing report on a newly admitted patient who is profoundly hard of hearing says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all. What should be the first action of the oncoming nurse?