NIU NURS304 discussion 2

You only need to post an initial response to one of the
following. Your participation posts can be to anyone and either option. The only rule regarding your selection is
what others have posted. Half of your
group will respond to option #1 and half of your group will respond to option
#2. Therefore if you are in a group of 6
and when you log on 3 people already made a post to option #1 than you will
make your initial post to option #2.
Your posts to others can be in either option #1 or #2.

Option 1: In the
following scenario, discuss the developmental, age, socioeconomic and
cross-cultural considerations that should be considered during the gathering of
the subjective and objective data and the provision of health care. Discuss the findings presented. Is there additional information / assessments
you would like to know prior to making a clinical judgment?

It is December in a northern state. S.A. has brought her two children, ages 3 and
5 years, to the health clinic for the first time. She states that she recently emigrated from
India. She is wearing a sari with a
light coat, and each child is wearing a light jacket. Interaction between parent and children is
appropriate. The children both fall at
the 4th percentile for both height and weight.
Overall, nutrition status appears to be satisfactory.

Option 2: S.P. is a
75-year-old female who presents to the provider’s office with fatigue. Subjective data includes: PMH – hypertension, hyperlipidemia, MI 3
years ago; fatigue started about a month ago, getting worse; relieved with
rest, exacerbated with activity; denies chest pain, ankles swollen. The Objective data includes: Vital signs T 98.3, P 112, R 18, BP 110/54;
Lungs – bilateral lower lobe crackles anterior and posterior; O2 sat = 94% on
RA; Skin is cool to touch; CV- heart rate regular, positive peripheral pulses,
ECG=no changes, +2 edema bilateral ankles; Medications include Metoprolol
20mg/day and Aspirin 325mg per day.

1. What other
questions should the nurse ask about the fatigue?

2. What other
assessments are necessary for this patient?

3. Based on the
readings, what is the most likely cause of fatigue for this patient?

Explanation & Answer

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