Our Services

Get 15% Discount on your First Order

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting,

May 25, 2025

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following:

1. What additional information should you obtain about the pain the patient is experiencing?

2. What additional physical assessment needs to be performed with this patient?

3. What considerations are important to remember if the patient’s CRP level is elevated?

4. What differential diagnoses should be considered for the patient?

5. What patient teaching will be incorporated into the visit to modify the patient’s risk factors?

6. How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

>Nursing homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

See attachment Case Study: End-of-Life Decisions George is a successful attorney in his mid-fifties. He is also a legal

See attachment Case Study: End-of-Life Decisions George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George

you have been asked by the Chief Informatics Officer (CIO) to evaluate several clinical decision-making tools to be used by your organization’s

you have been asked by the Chief Informatics Officer (CIO) to evaluate several clinical decision-making tools to be used by your organization’s stakeholders. The selected Clinical Decision Support Systems (CDSS) will be used to analyze the current state of health equity and information literacy in your organization. 10 slides

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan. Communication in the healthcare

work on setting goals for yourself using the SMART method. You will list a minimum of five professional goals that you would like to accomplish

work on setting goals for yourself using the SMART method. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic,

READ carefully the document uploaded with the specifications please. This file is too large to display.View in new window

Bb medicTions This file is too large to display.View in new window

image1.png image2.png image3.png

Develop a 4–6 page position summary and an analysis of relevant position papers on a healthcare issue in a chosen population. Collapse All

Develop a 4–6 page position summary and an analysis of relevant position papers on a healthcare issue in a chosen population. Collapse All Introduction Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in

A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her.

A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history

Describe your clinical experience for this week for a patient with hypertension. · Did you face any challenges, any success? If so, what were

Describe your clinical experience for this week for a patient with hypertension. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with

Read/review the following resources for this activity: · Textbook: Chapters 6 and 7 · Lesson · Week 2 Assignment

Read/review the following resources for this activity: · Textbook: Chapters 6 and 7 · Lesson · Week 2 Assignment Template Download Week 2 Assignment Template Open this document with ReadSpeaker docReader (Must use this template to complete the assignment.) Introduction: Nonverbal Communication Across Cultures Is there a culture other than

See message SOAP Note _____ NU_:_________ Herzing University

See message SOAP Note _______ NU___:_________ Herzing University Name:_________________________ Typhon Encounter #: _____________________ Comprehensive:____Focused:____ S: SUBJECTIVE DATA CC: What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. HPI: Use the “OLDCART” approach for collecting

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement

Physical asssement assignment NUR2180 APA Writing Assignment (100 points) Write a 3–5-page paper using a minimum of 5 peer

Physical asssement assignment NUR2180 APA Writing Assignment (100 points) Write a 3–5-page paper using a minimum of 5 peer reviewed resources from the past 5 years. Reviews from doctors and nurses Guidelines · Select an assessment tool from the list provided. · Overview of Tool (10 points): Provide an overview

Educational Program on Risk Management Submit Assignment Start Date May 12, 2025, 12:00 AM Due Date May 18, 2025, 11:59

Educational Program on Risk Management Submit Assignment Start Date May 12, 2025, 12:00 AM Due Date May 18, 2025, 11:59 PM Points 200 Rubric View Rubric Status Active Assessment Traits Requires Lopeswrite Assessment Description The purpose of this assignment is to create an educational program that supports the implementation of

see attached This reflective journal assignment will allow you to investigate areas for clinical preparation in psychiatric mental health. The

see attached This reflective journal assignment will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be written similarly to a Discussion Board post and abide by APA writing standards for use of appropriate citations. Your journal should include a minimum of one

see attachment Table 1 Infection Description Presentation Causes/ Risk Factors Treatment per CDC Addtl info Candida Fungal infection due to

see attachment Table 1 Infection Description Presentation Causes/ Risk Factors Treatment per CDC Addtl info Candida Fungal infection due to candida albicans Pruritic, soreness, dyspareunia , occasionally thick vaginal discharge and dysuria. KOH demonstrate s budding Pregnancy, immunosupression, antibiotic use, diabetes – Fluconazole 150 mg single dose Not usually considere

The CK&M Company manufactures a robotic vacuum called the Robo2000. The company sells the vacuum to discount stores throughout the country. The

The CK&M Company manufactures a robotic vacuum called the Robo2000. The company sells the vacuum to discount stores throughout the country. The Robo2000 is a basic robotic vacuum with a remote and is significantly less expensive than the robotic vacuum that requires a smartphone and app offered by the