Reference no: EM133806198

Question

The nurse practitioner (NP) is evaluating a client who presents with a chief complaint of fatigue. Click to highlight the client's risk factors for iron deficiency anemia in the note below. Progress Notes Date/Time Provider Progress Notes 04/01/20XX Client: Alyvia Swanson (pronouns they/them/theirs), 28 years old? Chief Complaint: Fatigue? Presenting Concerns: Client presents to the clinic with complaints of persistent fatigue and weakness. They report that these symptoms have been gradually worsening over the past few months. They are currently breastfeeding her 9-month-old infant and follow a strict vegan diet. Additionally, they mention taking ibuprofen intermittently. Client has a history of migraine headaches.? History of Present Illness:? The client reports adhering to a vegan diet for ethical reasons and has been breastfeeding exclusively since the birth of their child. They express concerns about their energy levels and the impact on their ability to care for their infant. The client notes occasional headaches for which they self-administer NSAIDs as needed.? ?Review of Systems:? General: Fatigue and weakness? Gastrointestinal: No reported gastrointestinal symptoms? Menstrual: Menstrual cycle resumed 4 months postpartum; currently regular? ?Physical Examination:? General Appearance: Appears fatigued; pallor noted on examination.? Vital Signs: Within normal limits.? Abdomen: No tenderness or organomegaly.?