I Need 3 Nursing Diagnosis Outcomes And Evaluations For Each Diagnosis

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Case Study #2 Congestive Heart Failure HPI HJ. presemed to the ER late one evening complaining of a racing heartbeat. She is an over-
weight. 69-year-old white female, who has been experiencing increasing shortness of breath
during the past two months and marked swelling of the ankles and feet during the past three
weeks. She feels very weak and tired most of the time and has recently been waking up in the
middle of the night with severe breathing problems. She has been sleeping with several pillows
to keep herself propped up. Five years ago, she suffered a transmural {i.e., through the entire
thickness of the ventricular wall). anterior wall (i.e.. left ventricle) myocardial infarction. She
received two-vessel coronary artery bypass surgery 41/2 years ago for obstructions in the left
anterior descending and left circumflex coronary arteries. Her family history is positive for
atherosclerosis as her father died from a heart attack and her mother had several CVAs. She had
been a three pack per day smoker for 30 years but quit smoking after her heart attack. She uses
alcohol infrequently. She has a nine-year history of hypercholesterolemia. She is allergic to nuts,
shellfish. strawberries. and hydralazine. Her medical history also includes diagnoses of
osteoarthritis and gout. Her current medications include celecoxib, allopurinol, atorvastatin, and
daily aspirin and clopidogrel. The patient is admit- ted to the hospital for a thorough examination. Science