S.P. is a 75-year-old woman who presents to the provider’s office with fatigue.

S.P. is a 75-year-old woman who presents to the provider’s office with fatigue.
Subjective Data
PMH: HTN, hyperlipidemia, MI 3 years ago
Fatigue started about a month ago, getting worse
Relieved with rest, exacerbated with activity
Denies chest pain
Ankles swollen
Objective Data
Vital signs: T 37 P 112 R 18 BP 110/54
Lungs: bilateral lower lobe crackles
O2 Sat = 94%
Skin = cool to touch
CV = heart rate regular, positive peripheral pulses, ECG = no changes
+2 edema bilateral ankles
Medications: Metoprolol 20 mg per day, 325 mg of aspirin per day

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Questions
1. What other questions should the nurse ask about the fatigue?
2. What other assessments are necessary for this patient?
3. What are some causes of fatigue?
4. Develop a problems list from the objective and subjective data.
5. What should be included in the plan of care?
6. Based on the readings, what is the most likely cause of fatigue for this patient?

SAMPLE SOLUTION

Case Study
Questions that the nurse can ask
One of the questions that the nurse can ask is the time that the old woman sleeps. Lack of enough sleep has been known to be one reason as to why people, especially in the old age, end up being fatigued. Another one is how often she engages in light exercises as they also help relax the body and therefore, they ought to be done | GET AN EXPERT FOR YOUR ASSIGNMENT | undertake routine research facility test such as lipid profile, hemoglobin as well as serum creatinine. Other assessments include chest x-ray in order to discover the possibility of blockage of the lung. An electrocardiogram is also critical to help understand changes in the | GET AN EXPERT FOR YOUR ASSIGNMENT |many causes of fatigue especially for the case presented herein. Some of the causes include deficiency of irons, kidney as well as liver ailments, illnesses…