Philadelphia, PA: Saunders Georgina Graves is a 42-year-old female who presents to the provider’s office with fatigue. Subjective Data PMH: none, (except gynecological issues) Significant family history of heart disease Fatigue started about 2 months ago, getting worse Relieved with rest, exacerbated with activity Denies chest pain C/O shortness of breath on exertion Smoker 1 PPD (1 paket per day) Objective Data Vital signs: T 37 P 100 R 18 BP 110/54 Lungs: clear O2 Sat = 94% Skin = cool to touch CV = heart rate regular, positive peripheral pulses, ECG = intermittent complete left bundle branch block (New Finding) Edema Medications: Premarin 0.3 mg po/day 1.What other questions should the nurse ask about the fatigue? 2.What other assessments would be necessary for this patient? 3.What are some causes of fatigue? 4.What should be included in the plan of care? 5.Based on the readings, what is the most likely cause of fatigue for this patient? answer
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