M.C. is a 69-year-old man who presents to the outpatient office with a hacking,
ID: 247300 • Letter: M
Question
M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough.
Subjective Data
PMH: HTN, DM
Cough is productive, bringing up green phlegm
Runny nose, sore throat
Denies fever
Sore throat pain when swallowing
No history of smoking or seasonal allergies
Complains of fatigue
Objective Data
Vital signs: T 37 P 72 R 14 BP 134/64
Lungs: + Rhonchi bilateral upper lobes, wheeze
O2 Sat = 98%
Ears = TM bulging
Nose = + erythema, yellow discharge
Throat = + erythema, – pustules
Medications: Metoprolol 12.5 mg per day, Glucophage 500 mg twice a day
Questions
1. What other questions should the nurse ask about the cough?
2. Develop a problems list from the objective and subjective data.
3. What nursing diagnoses can be derived from the problems list?
4. What should be included in the plan of care?
5. What risk factors are associated with this age group?
6. Based on the readings, what is the most likely cause of this patient’s cough?
Explanation / Answer
What other questions should the nurse ask about the cough?
The accompanying inquiries might be valuable in taking a respiratory history:
-Please depict the issue that made you come in today?
-How has this condition affected your exercises?
-How regularly does this happen
-How long has this been occuring?
Develop a problems list from the objective and subjective data.
cough,
sputum creation,
dyspnea,
What nursing diagnoses can be derived from the problems list?
chest pain, and breathlessness.
What should be included in the plan of care?
-Do you have any issues breathing during the evening? Provided that this is true, do you utilize pads to enable you to get in a situation to inhale simpler?
-Do you have any hypersensitivities? On the off chance that yes, how does your sensitivity influence your relaxing?
What risk factors are associated with this age group?
Neuropsychiatric indications, for example, lack of care, tumult, and dejection, are likewise normal. With expanding loss of capacity, a patient is progressively burglarized freedom. Position in a nursing home might be important.
Based on the readings, what is the most likely cause of this patient’s cough?
A particularly planned impact of these proposals is to decrease the utilization of anti-toxins to treat colds and intense bronchitis, for which they are not shown. Facilitate clinical preliminaries of medicines for hack ought to be performed end goal to expand the proof base, which is currently fragmentary.
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