SOLVED1225

Two Months Ago: A client is seen in the provider’s office reporting heavy and prolonged menstruation that has been ongoing intermittently for the past several months. The client denies nausea but does report abdominal cramping. Physical Exam: General: Pleasant, in mild discomfort. Patient reports pain as 4 on a scale of 0 to 10. Respiratory: Lung sounds are clear bilaterally Cardiovascular: S1, S2, no murmur auscultated Abdomen: Soft, nontender, bowel sounds are active in all four quadrants Skin: Pale, warm, and dry Today: The client returns to the office today with report of continued heavy and prolonged menstruation (menorrhagia). Reports feeling fatigued, weak, dizzy at times with occasional headaches. Physical Exam: General: Pleasant, in mild discomfort. Patient reports pain as 4 on a scale of 0 to 10. Respiratory: Lung sounds are clear bilaterally CdilSS2ld Cardiovascular: S1, S2, no murmur auscultated Abdomen: Soft, nontender, bowel sounds are active in all 4 quadrants Skin: Pale, cool, and clammy Past Medical History: No known drug allergies. Obesity
SCIENCE
HEALTH SCIENCE
NURSING

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