Exam (elaborations)
Florence Blackman i-Human.
- Course
- Florence Blackman i-Human.
- Institution
- Chamberlain College Nursing
Florence Blackman i-Human....100% correct questions, answers, workings, and explanations
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FlorenceBlackman i-
Human.
, 1
Florence Blackman i-Human
Student’s Name
Institutional Affiliation
Course
Instructor
Date
HPI Statement
Florence Blackman, a 50-year-old woman, came to the clinic reporting intermittent chest pain described as a
squeezing sensation. She experienced mid-chest pain that radiated to her left arm and noted shortness of breath
while skiing in cold weather. The pain lessened when she took breaks, and skiing at a slower pace in the
following days reduced the discomfort. After returning from her skiing trip, she resumed her regular exercise
routine without any issues in warm weather. However, sharp chest pain reappeared during cold-weather
exercise, prompting her to take breaks. She did not experience any pain while resting, leading her to seek
medical attention.
History
The patient has no known drug allergies and has had two previous pregnancies, both of which ended before 24
weeks. She has a history of mild hypertension and hypercholesterolemia and is currently on medication. She
considers herself overweight but maintains physical fitness by exercising aerobically three times a week.
Although she prefers fast food when dining out, she tries to eat healthily at home. To manage stress, she
engages in skiing and aerobics. Her immunizations are current, and she undergoes regular cancer screenings
and health checks, reporting no abnormalities. She monitors her blood pressure every four months. Family
history includes her father, who died of a stroke at 65, and her mother, who passed away at 54 from unspecified
heart disease. Additionally, her 54-year-old sister has recently undergone open-heart surgery. Mrs. Blackman is
divorced but has a supportive husband. A former light smoker, she has quit smoking and consumes wine
excessively, drinking daily, but does not use recreational drugs.
Physical Exam
The patient is alert and aware of her surroundings, articulating her condition clearly and understanding the
reason for her clinic visit. She maintains a normal appetite and sleep patterns. Her skin and breast examination
appears normal. The neck and HEENT (Head, Eyes, Ears, Nose, Throat) examinations are also normal. She
exhibits wheezing due to the sharp pain but has no active cough or sputum production. Her skin is warm and
dry, with a recorded body temperature of 98.5°F. Her pulse rate is 72, indicating a regular rhythm. Blood
pressure readings are 134/88 in both the left and right arms. Her respiration rate is 16, with regular and
unlabored breathing. Additionally, her eTCO2 is 37 mmHg, SpO2 is 96%, and SpCO is 3%.
Diagnostic Testing
Given the patient’s symptoms, the following tests will be ordered:
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