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:

  1. Prioritized nursing diagnoses with expected outcomes and interventions. Include rationales.
  2. Evaluation of expected outcomes and modifications to the plan of care based on the patient’s response.
  3. Patient education on disease process, self-care, discharge instructions, and follow-up.
  4. 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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