NRNP 6540 Case Study 1: CC: Mrs. L.,| NRNP 6540 Case Study 1: CC: Mrs. L.,(answered) complete guide, to help you ace on your study (latest summer 2020/2021)

Document Content and Description Below

(Answered) NRNP 6540 Case Study 1: Question CC: Mrs. L., a 68-year-old woman, presents to your office today with a complaint of feeling tired all the time and now, more recently, feeling weak and... like "I can't catch my breath sometimes." HPI: She has been healthy except for high cholesterol, managed by Lipitor. Her husband died 9 months ago, and she has attributed her fatigue to dealing with his death but realizes that she is feeling worse and not better as time passes. No known drug allergies. Medications: Takes only Lipitor. Past surgical history: Appendectomy in childhood; hysterectomy for uterine myoma 10 years ago. No significant medical history. Has two daughters living nearby. Blood pressure (BP) 106/70 mm Hg, heart rate (HR) 98 beats/min and regular, respiratory rate 18 breaths/min and afebrile, body mass index (BMI) 22 (10-pound weight loss since death of husband). Slender, quiet-spoken older woman appearing tired. PE: Conjunctiva pale, mucous membranes moist. No lymphadenopathy of neck or femoral area. Heart tachyarrhythmia with regular rate, soft midsystolic murmur. Chest (CTA), good air movement. Abdomen soft, bowel sounds × 4. Diagnostics: Urine dipstick negative. The results of a colonoscopy show a neoplasm in the colon. 1. What additional subjective data should we look for? 2. What additional objective data will be assessing for? 3. What medical history to obtain from the patient? List at least three. 4. What tests to order? Describe at least four lab tests. 5. What are the differential diagnoses to consider? Describe two. 6. What is the plan of care? List at least two diagnostic tests to be ordered to evaluate the cause of her condition. [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages