Final answer:
Sam is experiencing symptoms that could suggest cardiac or renal issues. A medical evaluation, including diagnostic tests and a physical examination, will likely be conducted to determine the underlying cause. Treatment may include the use of diuretics, fluid management, and specific therapies based on the identified condition.
Step-by-step explanation:
Based on the description provided, Sam is experiencing symptoms such as shortness of breath and swollen ankles, suggesting the possibility of a cardiovascular issue or fluid retention. Given that Sam's weight is consistent with his expected dry weight (edw) yet he presents with these symptoms, it is important to consider conditions such as congestive heart failure or kidney problems, which could cause such fluid accumulation and shortness of breath. Notifying the charge nurse is the correct first step, as it will likely lead to a more detailed assessment.
Sam's treatment plan would likely begin with a thorough physical examination, including assessment of the heart and lungs, and may require urgent diagnostic tests such as an echocardiogram, chest X-ray, or blood tests to evaluate heart function, kidney function, and electrolyte levels. Given the presence of swelling and breathing difficulties, the medical team might also initiate treatments to reduce fluid overload, such as prescribing diuretics and potentially adjusting Sam's fluid intake. If an underlying cause is identified, such as heart failure or renal impairment, treatment would be tailored accordingly to manage the specific condition.