Develop a comprehensive nursing care plan for a 67-year-old patient admitted with acute decompensated heart failure. The patient has a history of hypertension, type 2 diabetes, and chronic systolic heart failure. On admission, the patient complains of worsening shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema. Vital signs show blood pressure 145/92 mmHg, heart rate 110 bpm, respiratory rate 28 breaths/min, and oxygen saturation 92% on room air. Physical exam reveals crackles on lung auscultation, S3 heart sound, 2+ pitting edema of the lower extremities bilaterally. Laboratory results show elevated BNP, low hemoglobin, and hyponatremia. Chest x-ray shows pulmonary vascular congestion.
In your nursing care plan, address the following:
- Prioritized nursing diagnoses with expected outcomes and interventions. Include rationales.
- Evaluation of expected outcomes and modifications to the plan of care based on the patient’s response.
- Patient education on disease process, self-care, discharge instructions, and follow-up.
- Multidisciplinary collaboration with social work, nutrition, physical therapy, and cardiology.
The care plan should demonstrate critical thinking, evidence-based interventions, and comprehensive patient-centered care. Use current guidelines and literature to support your plan. The assignment will be graded on completeness, accuracy, organization, and writing mechanics.
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