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Question: A 56-year-old client is visiting their primary healthcare provider (PCHP) for an annual visit. After performing a physical assessment, the practical nurse documents in the client's medical record. Vital Signs (1545) Temperature (F/C) 97.8136.5 . C Heart Rate (bpm) 78 Respirations (bpm) 16 Blood Pressure (mmHg) 136/76 Height 72 in Weight 102.5 kg BMI 30.6 Nurses Note BMY bilateral loice pain, doesn't want fly 1545: Client states has no previous history and no known allergies. Get Homework Help Now!
Client states does not take any daily medications at home except a vitamin "when I remember." Client reports increased fatigue and thirst, and also states has to get up to pee at night. Client reports thinks mother had high blood sugars. Works as a clerk and sits almost all day." States I will not get a flu shot." Reports bilateral knee pain 1/10 on 0 to 10 scale. Lungs clear to auscultation throughout. Abdomen soft and nontender. 1. Use an X to indicate which client findings require further review by the nurse at this time. Findings Finding That Requires Further Review Reports increased fatigue BP 136/76 T 97.8 F (36.5 . C) Verbalizes has to get up to pee at night Lungs clear to auscultation throughout Reports mother had high blood sugars Ht 6', Wt 226 1b, BMI 30.6 Reports bilateral knee pain 1/10 on 0 to 10 scale Reports increased thirst States
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