62-year-old man presents to the emergency department with complaints of fatigue, hacking cough, and shortness of breath for the past 3 days. He has a past medical history of myocardial infarction 8

months ago and osteoarthritis in the left hip. He quit smoking tobacco 6 months ago and denies the use of alcohol consumption. His current medications include atorvastatin 40 mg QD, ASA 81 mg QD, lisinopril 10 mg QD, ibuprofen 600 mg prn for hip pain. The nurse documents the following assessment findings:

Nurse's Documentation

Apical pulse palpated at the R mid-clavicular border, 6th intercostal space

Heart rate = 98

Reports 1/10 pain on a 0-10 pain scale

Blood pressure = 134/88 mmHg

Reports 8 lb weight gain over past 7 days, current weight 202 lbs Fine crackles auscultated in the bilateral lower lobes of the lung Sp02 92% on room air

Reports increased difficulty breathing when lying flat in the bed

Reports he recently completed treatment for conjunctivitis