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hey everyone itamp;#39;s Sarah with registered nurse rn.com and in this video Iamp;#39;m going to walk you through a case study similar to what you may encounter on the Next Generation NCLEX exam so letamp;#39;s get started so first letamp;#39;s look at our case study summary we have a 68 year old male whoamp;#39;s admitted with shortness of breath he reports a difficulty breathing with activity lying down or while sleeping he states that in order to breathe easier he has had to sleep in a recliner for the past week the patient has a history of hypertension and my cardio infarction two years ago and a cholecystectomy 10 years ago the patient is being transferred to a cardiac Progressive Care unit for further evaluation and treatment so after I read this what really jumps out at me is the patientamp;#39;s report about his difficulty breathing he says he has difficulty breathing with activity while lying down and while sleeping so with lying down that is called orthopnia this is wh