A 67yo male is admitted to the unit with a dx of CHF. Pt states, "I get short of breath before I'm able to make it up one flight of stairs to my room....

A 67yo male is admitted to the unit with a dx of CHF. Pt states, "I get short of breath before I'm able to make it up one flight of stairs to my room." He also reports having to take frequent breaks while doing everyday activities. During your assessment you observe his skin to be pale pink, with swelling in his hand and feet. You also notice pt leaning forward in the bed to breathe with labored breath sounds.