SOLVED505

Patient A is a 59-year-old who presents to the primary care clinic with chest congestion and cough for two weeks. The patient also complains of heart palpitations on and off for one week, describing them as “suddenly being aware of the heartbeat”. The patient has a history of hypertension, but otherwise unremarkable medical history. Medications include Lisinopril 10 mg daily for hypertension, and the patient has been taking an over-the-counter “cold medicine” for a little over a week. Upon further inquiry, you discover the over-the-counter medication contains a decongestant. Vital signs: BP 148/92; HR 83; RR 22; sPO2 95%; Temp 98.1. You decide to perform the two most relevant regional assessments. Patient B is an 83-year-old admitted to a skilled nursing facility. The patient complains of dull stomach pain, which comes and goes, for about a month. The pain is worse when the patient hasn’t eaten for a while and it improves upon eating. The patient’s history includes peripheral artery disease and takes aspirin daily “to help with my arteries.” The patient denies lower extremity edema but states there is decreased sensation to the feet. Vital signs: BP 116/84; HR 66; RR 16; sPO2 97%; Temp 97.5. You decide to
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HEALTH SCIENCE
NURSING

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