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Presents to the provider office with fatigue

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Reference no: EM132452003

Georgina Graves is a 42-year-old female who presents to the provider's office with fatigue.

Subjective Data

  • PMH: none, (except gynecological issues)
  • Significant family history of heart disease
  • Fatigue started about 2 months ago, getting worse
  • Relieved with rest, exacerbated with activity
  • Denies chest pain
  • C/O shortness of breath on exertion
  • Smoker 1 PPD

Objective Data

  • Vital signs: T 37 P 100 R 18 BP 110/54
  • Lungs: clear
  • O2 Sat = 94%
  • Skin = cool to touch
  • CV = heart rate regular, positive peripheral pulses, ECG = intermittent complete left bundle branch block (New Finding)
  • Edema

Medications: Premarin 0.3 mg po/day

  1. What other questions should the nurse ask about the fatigue?
  2. What other assessments would be necessary for this patient?
  3. What are some causes of fatigue?
  4. What should be included in the plan of care?
  5. Based on the readings, what is the most likely cause of fatigue for this patient?

Reference no: EM132452003

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