Meet the Client
Meet the Client: Kristin ElrodKristin Elrod, who is 58 years old and postmenopausal, is seen at the
women's health clinic for a routine checkup. She reports to the clinic because she is experiencing fa
...
Meet the Client
Meet the Client: Kristin ElrodKristin Elrod, who is 58 years old and postmenopausal, is seen at the
women's health clinic for a routine checkup. She reports to the clinic because she is experiencing fatigue,
vaginal bleeding, and occasional heartburn.
Important to Know
1. Your first answer is the one that counts towards your score, but you’ll be prompted to try again if you
get the wrong answer. When you get the right answer, you’ll go to the next section.
2. If you choose to re-take a Case Study, you will no longer be able to see your previous score.
Section 1
Physical Assessment
Ms. Elrod is alert and oriented x 3. Her complexion is pale and skin is warm to the touch. She describes
her symptoms of vaginal bleeding as intermittent and moderate. Her heartburn occurs she says on a daily
basis and coincides with eating acidic foods like tomatoes. Exercise such as walking is impossible for her
because of the generalized weakness and fatigue she experiences on a daily basis. Her height is 5’ 6”.
The client is obese and weighs 200 lbs. (90.72 kg) with a body mass index (BMI) of 30. Ms. Elrod was
diagnosed with diabetes mellitus 2 years ago and takes oral antidiabetic medication. She says that her
lower left leg feels sore and tender and the nurse notices a red rash with a swollen appearance on the
anterior portion of the leg. Ms. Elrod states her pain level is more like discomfort, but rates it as 4 out of
10. The nurse's initial assessment identifies the client at high risk for coronary artery disease (CAD) and
notifies the healthcare provider (HCP). A lab screening and diagnostic tests are prescribed by the HCP so
the nurse schedules the client for a complete coronary artery disease screening.
Home Medications
Metformin 500 mg, po BID
Lisinopril 20 mg, po BID
Sudafed 12 hour relief 1 tab every morning
Vital Signs
Blood Pressure 175/85 mmHg
Pulse 95 beats/min
Temperature 99° F (37.2° C)
Respirations 20 breaths/min
O 2
Sat 95%
Pain level 4/10
Blood Glucose 246
Section 2
Risk Factors
Which information in Kristin's history indicates an increased risk for coronary artery disease (CAD)?
Select all that apply
Frequent episodes of hypoglycemia.
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