Assignment task: Cardiac Heart Failure: Mr. Jones Scenario 1: Mr. Jones, age 65, has a family history of cardiac disease. He has been hypertensive for 15 years and takes captopril (Capoten) daily. His baseline vital signs are BP 122/78 mmH, pulse 80 beats per minute, respirations 18 per minute, height 70 inches, and weight 170 pounds. During a visit to his physician, he expresses that he has been experiencing shortness of breath during his daily 2-mile walk and that he has been sleeping on two pillows at night. As he talks, the physician notes that he has an intermittent dry cough. His physical examination shows BP 150/90 mmH, pulse 106 beats per minute, respiration 24 per minute, weight 180 pounds, and bilateral crackles in the lung bases. 1. What signs and symptoms of heart failure does Mr. Jones have? 2. Do the signs and symptoms reflect RIGHT or LEFT sided HF? 3. Why are each signs and symptoms occurring? Scenario 2: Mr. Jones' chest X-ray reveals an enlarged heart (cardiomegaly). 1. Why is Mr. Jones's heart enlarged? 2. What is the significance of an enlarged heart?