Case study : PICK ONE BELOW  Jim is a 69-year-old... | Nursing

Clinical Requirement:

PICK ONE BELOW  Jim is a 69-year-old male who comes in today complaining of dyspnea on exertion, and you have noted that he has gained about 25 pounds since his last visit 7 months ago. He tells you that he is not sleeping at night because of a constant cough, and he thinks he has a cold because he is coughing up pink frothy “spit”. He is extremely fatigued because of his lack of sleep.  Your examination reveals bilateral 3+ pitting edema with his lower extremities being cool to the touch, distended abdomen, hepatomegaly, hacking cough, and S3 with a gallop. Jim had a myocardial infarction (MI) 15 years ago, and his currently on medication for hypertension. Matthew is a 52-year-old truck driver who is seeing you today for his physical. He states that he has been in his usual state of health but missed his physical for the past few years.  His BP is 165/90, HR 90, Height is 6’2, and Weight is 204. Total Cholesterol 244, HDL 32 LDL 166 Triglycerides 344 A1C 6.8. Jennifer is an 84-year-old who recently returned from London with her husband. She comes to your clinic as a walk-in from the airport because she does not feel well. She has felt shaky, a little short of breath, and slightly light-headed for the past 2 to 3 hours. She did not take her Norvasc or Lisinopril this morning because she didn’t feel well. She presents to you slightly diaphoretic. Her BP is 90/50, HR is 155, and RR 20. She is alert and oriented.