27 Dec It is December in a
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Option 1: In the following scenario, discuss the developmental, age, socioeconomic and cross-cultural considerations that should be considered during the gathering of the subjective and objective data and the provision of health care. Discuss the findings presented. Is there additional information / assessments you would like to know prior to making a clinical judgment?
It is December in a northern state. S.A. has brought her two children, ages 3 and 5 years, to the health clinic for the first time. She states that she recently emigrated from India. She is wearing a sari with a light coat, and each child is wearing a light jacket. Interaction between parent and children is appropriate. The children both fall at the 4th percentile for both height and weight. Overall, nutrition status appears to be satisfactory.
Option 2: S.P. is a 75-year-old female who presents to the provider’s office with fatigue. Subjective data includes: PMH – hypertension, hyperlipidemia, MI 3 years ago; fatigue started about a month ago, getting worse; relieved with rest, exacerbated with activity; denies chest pain, ankles swollen. The Objective data includes: Vital signs T 98.3, P 112, R 18, BP 110/54; Lungs – bilateral lower lobe crackles anterior and posterior; O2 sat = 94% on RA; Skin is cool to touch; CV- heart rate regular, positive peripheral pulses, ECG=no changes, +2 edema bilateral ankles; Medications include Metoprolol 20mg/day and Aspirin 325mg per day.
1. What other questions should the nurse ask about the fatigue?
2. What other assessments are necessary for this patient?
3. Based on the readings, what is the most likely cause of fatigue for this patient?
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