Please review the case study below and answer the following questions:
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NSG 6440 Week 4 Discussion
NSG 6440 Week 4
This week’s content addressed common chronic
diseases. Please review the case study below and answer the following
questions:
A sixty-year-old baker presents to your
clinic, complaining of increasing shortness of breath and nonproductive cough
over the last month. She feels like she can’t do as much activity as she used
to do without becoming tired. She even has to sleep upright in her recliner at
night to be able to breathe comfortably. She denies any chest pain, nausea, or
sweating. Her past medical history is significant for high blood pressure and
coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal
bleeding. She is married and is retiring from the local bakery soon. She denies
any tobacco, alcohol, or drug use. Her mother died of a stroke, and her father
died from prostate cancer. She denies any recent upper respiratory illness, and
she has had no other symptoms. On examination, she is in no acute distress. Her
blood pressure is 160/100, and her pulse is 100. She is afebrile, and her
respiratory rate is 16. With auscultation, she has distant air sounds and she has
late inspiratory crackles in both lower lobes. On cardiac examination, the S1
and S2 are distant and an S3 is heard over the apex.
- What is the chief complaint?
- Based on the subjective and objective information provided what are
your 3 top differential diagnosis listing the presumptive final diagnosis
first?
- What treatment plan would you consider utilizing
current evidence based practice guidelines?
Submission Details:
- Post your response to the Discussion Area by the due date assigned.
Respond to atleast two posts by the end of the week.
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