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Posted: February 3rd, 2022
Health Assessment Case Study #3
M.C. is a 69-year-old man who presents to the outpatient workplace with a hacking, raspy cough.
Subjective Knowledge
PMH: HTN, DM
Cough is productive, citing inexperienced phlegm
Runny nostril, sore throat
Denies fever
Sore throat ache when swallowing
No historical past of smoking or seasonal allergic reactions
Complains of fatigue
Goal Knowledge
Important indicators: T 37 P 72 R 14 BP 134/64
Lungs: + Rhonchi bilateral higher lobes, wheeze
O2 Sat = 98%
Ears = TM bulging
Nostril = + erythema, yellow discharge
Throat = + erythema, – pustules
Drugs: Metoprolol 12.5 mg per day, Glucophage 500 mg twice a day
1. What different questions ought to the nurse ask concerning the cough?
2. Develop a issues checklist from the target and subjective knowledge.
three. What ought to be included within the plan of care?
four. What danger fac
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