HTN and hyperlipidemia are good cardiac dx; right there you have compromised CV function for HTN and potential for compomise 2/2 hyperlipidemia...interventions and goals would b maintain nml B/P by educating pt on how to monitor his own B/P, you could assess B/P q4, q8 etc, teach about lifestyle changes...as he has cognitive impairment educate sig other re: diet, exercise, lifestyle etc... hope this helps.