Bilateral breath soundsclear to auscultation

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Differentiating Components of Health Assessment

Please review the following data and differentiate subjective, objective, assessment, and plan data.Place the data under the appropriate component of the assessment.

1. Bilateral breath soundsclear to auscultation

2. Consumes 75% of meals

3. Pneumonia

4. Fine needle aspiration of thyroid gland

5. Refer to pulmonology

6. Chronic bronchitis

7. "My throat is sore and I'm hoarse"

8. Hemoglobin 25

9. Sister with breast cancer

10. Relieve ofchest pain with Tylenol

11. Back pain score 8/10 with radiation to legs

12. Skin warm and dry

13. "My head hurts"

14. Potassium 3.8

15. Refer to oncology

16. COPD

17. Left mastitis

18. Lateral curvature of thoracic spine

19. Productive cough x 10 days of green yellow sputum

20. Chest pain associated with activity

Subjective

Data Objective

Data Assessment (medical diagnosis)

Plan (orders)

Reference no: EM131540550

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