The Fatigue

Case StudyS.P. is a 75-year-old woman who presents to the provider’s office with fatigue.Subjective DataPMH: HTN, hyperlipidemia, MI 3 years agoFatigue started about a month ago, getting worseRelieved with rest, exacerbated with activityDenies chest painAnkles swollenObjective DataVital signs: T 37 P 112 R 18 BP 110/54Lungs: bilateral lower lobe cracklesO2 Sat = 94%Skin = cool to touchCV = heart rate regular, positive peripheral pulses, ECG = no changes+2 edema bilateral ankleMedications: Metoprolol 20 mg per day, 325 mg of aspirin per dayWritingPromptsQuestions1. 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?

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