Develop a problems list from objective and subjective data


Problem

M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough.

Subjective Data

PMH: HTN, DM
Cough is productive, bringing up green phlegm
Runny nose, sore throat
Denies fever
Sore throat pain when swallowing
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, wheeze
O2 Sat = 98%
Ears = TM bulging
Nose = + erythema, yellow discharge
Throat = + erythema, - pustules
Medications: Metoprolol 12.5 mg per day, Glucophage 500 mg twice a day

Task

• What other questions should the nurse ask about the cough?
• Develop a problems list from the objective and subjective data.
• What should be included in the plan of care?
• What risk factors are associated with this age group?

The response must include a reference list. One-inch margins, double-space, Using Times New Roman 12 pnt font and APA style of writing and citations.

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