Nelson Carson is a 62-year-old man who presents to his private practitioner’s of

Question

Nelson Carson is a 62-year-old man who presents to his private practitioner’s office with a hacking, raspy cough. Subjective Data PMH: HTN, CAD Cough is productive, bringing up green, thick phlegm Runny nose, sore throat No history of smoking or seasonal allergies Complains of fatigue Objective Data Vital signs: T 37 P 72 R 14 BP 134/64 Lungs: + Rhonchi bilateral upper lobes, wheezes O2 Sat = 98% Medications: Metoprolol 25 mg per day, ASA 325 mg/daily What other questions should the nurse ask about the cough? What nursing diagnoses can be derived from the data? What should be included in the plan of care? What risk factors are associated with this age group? Based on the readings, what is the most likely cause of cough for this patient?

Explanation / Answer

The nurse can raise questions

#Nursing diagnosis

Ineffective airway clearance related to congestion as evidenced by spitting phlegm

Ineffective breathing pattern related to thick phlegm as evidenced by wheeze

#plan of care

#Risk factors

The cough could be because of severe lung infection

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