NursGuru
    Ati vati adult med surgical proctored exam
    A nurse is caring for a client in the emergency department. Exhibits Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. Day 1, 1100: S: Client reports fatigue over the last several months. Client reports intermittent epigastric discomfort upon exertion. Client reports experiencing occasional nausea and heart palpitations. B: Client is a 60-year-old female. History of smoking 1 pack per day for the past 30 years. Past medical history of type 2 diabetes mellitus, systemic lupus erythematosus, hypertension, and hyperlipidemia. The Father died at age 50 with coronary artery disease. A: Alert and oriented to person, place, and time. Bilateral breath sounds clear and equal. Denies shortness of breath. Respirations are even and unlabored. S1, S2 auscultated. No abnormal heart sounds auscultated. Bowel sounds normoactive x4 quadrants. Abdomen nondistended and nontender. Peripheral pulses palpable 2+. Skin warm, dry, and pink. Client reports chest pain as 4 on a scale of 0 to 10 R: Suggest admitting to telemetry unit for further monitoring.

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