Case Study77 year old female was admitted with chronic obstructive pulmonary disease, pneumonia,and congestive heart failure. Alert and oriented times four, anxious, and denied any pain. Auscultated lung sounds, diminished in all quadrants. Apical and radial pulses were equal. Lowerextremity weakness, with plus one pedal pulses. She was a former smoker of about a pack a day and quit in 1996 and drinks about three to four glasses of alcohol every day. She has a health history of anxiety, urinary incontinence, hypoxia, high cholesterol, and primary hypertension. The pulse oximetry was 86%. The Chest x-ray showed hyperinflation and right lower lobe pneumonia. Interventions include: heart failure medications to be continued per her home regimen, place patient at a semi-fowler position to improve breathing, administer patient medication of fluticasone-salmeterol and albuterol-ipratropium as prescribed, and administer and maintain oxygen of 2L/min as ordered.