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NUR 240 - Coronary Artery Disease Case Study Kristin

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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 sh... e 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. [Show More]

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