SOLVED2332

A 50 year old woman attends a health screening at her place of employment. She is 5’6″ tall and weighs 225 pounds. She reports that she has not exercised much lately because her knees hurt and she gets short of breath. She denies chest pain or palpitations and takes no medications. She was told that her blood sugar ran “high” when screened last year but she did not follow up on that. In addition to full time work, she cares for her aging mother who lives alone. Her father died when he was 49 of a heart attack. Her blood pressure is 149/95 with a pulse of 88. She has normal heart sounds except for a low rumble during systole heard loudest over the right sternal boarder at ICS 2-3. She also has a soft rushing sound over left carotid artery. What are the top treatment priorities for our health-seeking patient?
SCIENCE
HEALTH SCIENCE
NURSING

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