Mrs. Nelson, a 70-year-old female, is admitted to your nursi…
Mrs. Nelson, a 70-year-old female, is admitted to your nursing unit with a diagnosis of heart failure. Provider Orders: Bed rest Low sodium diet Oxygen at 3L via nasal cannula Digoxin 0.25 mg PO daily Furosemide (Lasix) 40 mg PO twice a day Potassium chloride 20 mEq PO daily Assessment Findings: Crackles in bilateral lower lobes Edema Dyspnea at rest RR 26 SpO₂ 88% on room air Cool extremities Current weight: 258 lbs (baseline 245 lbs) Based on the scenario, complete the following sentence by selecting the best option for each blank. Blank 1: Nursing Diagnosis Options Blank 2: Nursing Action Options Activity Intolerance Excess Fluid Volume Impaired Gas Exchange Risk for Imbalanced Nutrition: Less than Body Requirement Administer furosemide (Lasix) as ordered Administer oxygen at 3L via nasal cannula Elevate the patient’s legs to promote venous return Notify the healthcare provider about possible respiratory distress The nurse identifies that the highest priority nursing diagnosis is , and the priority nursing action is to .