P.P. is a 40-year-old man who presents to the occupational health clinic for a p
ID: 238304 • Letter: P
Question
P.P. is a 40-year-old man who presents to the occupational health clinic for a physical prior to beginning employment at a local hospital. The patient is in good health, has no complaints of pain, and exercises on a daily basis. BMI is 23.4, the physical exam is unremarkable, and vital signs are T 97.5, P 68, R 16, and BP 120/60. The patient is to begin work after obtaining physical clearance. Labs and immunization reports are pending. The nurse is preparing to perform the physical examination.
What safety concerns will you have for this patient? Why?
What physical examination techniques should the nurse use for auscultation? List and
demonstrate examples.
What safety concerns would you have if this patient was 20? 90?
Explanation / Answer
1). The patient's blood pressure is 120/60 mmHg, which indicates a low diastolic pressure, this requires medical intervention. The person may experience risk from sudden falls due to dizziness and is likely to experience frequent headaches. The person must be diagnosed with the heart defects (aortic valve regurgitation, myocarditis, and rheumatic fever) and atherosclerosis.
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