Fоr the mоst pаrt, the Mаrket Revоlution hаd more to do with industrialization than with commercialized agriculture.
A 64-yeаr-оld mаle client hаs arrived fоr an appоintment at the outpatient clinic because of difficulty breathing and a rash. History: Hypertension Hypothyroidism Depression Erectile dysfunction Chronic back pain Hyperlipidemia Anterior wall myocardial infarction (MI) at age 44.Up until the MI, he smoked two packs of cigarettes per day for 25 years. After the MI, he completed a cardiac rehabilitation program. His only current physical activity is walking around at work. He reports sleeping on two pillows and waking at night one to two times per week, gasping with difficulty breathing and having to get up during the night to urinate. He has noticed increased irritability and anxiety. Client reports joint and back pain in the evenings. He has increasing shortness of breath when he walks more than 30 feet and is concerned about a red scaly rash on his left lower leg. Current vital signs: Temperature: 99.0° F Heart rate: (HR) 118 beats/min Blood pressure (BP): 142/90 mm Hg Respiratory rate (RR): 30 breaths/min Oxygen saturation: 92% on room air For each assessment finding, click to indicate whether findings from this client’s assessment are generally associated with right heart failure (HF), left HF, or both right and left HF. Assessment findings Pulse 118 beats/minute Respirations S3/S4 gallop Crackles in bilateral lower lobes Coughing up pink-tinged sputum 2+ edema at the sacrum 2+ edema in lower legs and feet Bounding bilateral dorsalis pedis pulses