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Nursing 171: Create a nursing care plan for: Mr. Respire, a 68-year-old retired engineer, who comes to the community health clinic complaining of ( c/o) shortness of breath, a cough, and lung congestion. He reports that he had a cold for the last week and it progressively worsened over the weekend. Mr. Respire states that he has a wet cough and says, "I am coughing up a large amount of thick yellow-green mucous several times a day". He reports, "I have been taking Robitussin 1 tablespoon every 6 hours for the cough, but it is not helping. I think that I need an antibiotic because my wife was recently diagnosed with pneumonia ". "Pt also reports general fatigue for the past 3 days". RESPIRATORY - Reports productive cough with yellow-green mucous. Shortness of breath rated at a 2/10 for the past 24 hours. Denies chest pain. Reports a fever of 99 .9°F orally yesterday only. Smokes 10 cigarettes per day for the past 33 years. Reports having the pneumovax vaccine at age 60. Denies recent chest x-ray or purified protein derivative (PPD) skin test. Reports sleeping on one pillow at night Cardiac: S1 S2 Normal sinus rhythm- rate 88 VITALS:
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