Heart Failure Exacerbation

08:00: 72-year-old male presents with increased shortness of breath, a dry cough, and swelling in his lower extremities that has worsened over the past three days. Client reports he is unable to sleep lying flat and has been sleeping in a recliner for two nights. Denies chest pain. History of hypertension, coronary artery disease, and heart failure (HFrEF). Skin is cool and clammy. Notable jugular venous distention (JVD) present.