AHA-WK 5 DISCUSSION : Select one of the following discussion... | Nursing

Clinical Requirement:

Select one of the following discussion questions below.  Post a substantive initial response with references.  Option 1 M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough. Subjective Data PMH: HTN, DM Cough is productive, bringing up green phlegm Runny nose, sore throat Denies fever Sore throat pain when swallowing No history of smoking or seasonal allergies Complains of fatigue Objective Data Vital signs: T 37 P 72 R 14 BP 134/64 Lungs: + Rhonchi bilateral upper lobes, wheeze O2 Sat = 98% Ears = TM bulging Nose = + erythema, yellow discharge Throat = + erythema, – pustules Medications: Metoprolol 12.5 mg per day, Glucophage 500 mg twice a day Questions What other questions should the nurse ask about the cough? Develop a problem list from the objective and subjective data. What nursing diagnoses can be derived from the problems list? What should be included in the plan of care? What risk factors are associated with this age group? Based on the readings, what is the most likely cause of this patient’s cough? (Image: Female Holding Head in Discomfort) Option 2 S.P. is a 75-year-old woman who presents to the provider’s office with fatigue. Subjective Data PMH: HTN, hyperlipidemia, MI 3 years ago Fatigue started about a month ago, getting worse Relieved with rest, exacerbated with activity Denies chest pain Ankles swollen Objective Data Vital signs: T 37 P 112 R 18 BP 110/54 Lungs: bilateral lower lobe crackles O2 Sat = 94% Skin = cool to touch CV = heart rate regular, positive peripheral pulses, ECG = no changes +2 edema bilateral ankles Medications: Metoprolol 20 mg per day, 325 mg of aspirin per day Questions What other questions should the nurse ask about the fatigue? What other assessments are necessary for this patient? What are some causes of fatigue? Develop a problem list from the objective and subjective data. What should be included in the plan of care? Based on the readings, what is this patient's most likely cause of fatigue?