[Answered]: you are an RN on a busy medical…

you are an RN on a busy medical surgical/telemetry floor in any town General Hospital. Each nurse on your unit typically cares for 3 -5 patients. You have just arrived for your day shift and are receiving nurse-to-nurse reports from three different night-shift nurses. After you receive reports, you will have an opportunity to review the current orders for each of your patients what should the nurse do notice and what is the clinical significance? “Saunders is a 62-year-old male who came in last night for a CHF exacerbation. His doctor is Dr. Davis and he’s full code. He’s alert and oriented and can make his needs known. He’s on tele, with normal sinus rhythm with occasional PVCs. His pressures are fine, The heart rate is in the 70s. Lungs are clear in the upper with crackles in the bases. He’s coughing up a small amount of white frothy secretions. He’s been on room air since he arrived, oxygen sats are in the low-mid 90s. He got 40 mg IV Lasix last night in the ED; I think you might have something scheduled during your shift, but I haven’t given anything overnight. He has a 20 gauge in his right forearm. I’m not sure how he gets around since he’s been in bed since he got here.” T: 98.6 F (oral) P: 76 R: 20 BP: 128/87 (MAP 101 mmHg) O2 sat: 92% on room air Pain: denies Admission Weight: 196 lb (89.1 kg) in one sentence, describe the ESSENCE of the patient scenario that will guide your plan of care?