M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough.
PMH: HTN, DM
Cough is productive, bringing up green phlegm
Runny nose, sore throat
Sore throat pain when swallowing
No history of smoking or seasonal allergies
Complains of fatigue
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
1. What other questions should the nurse ask about the cough?
2. Develop a problems list from the objective and subjective data.
3. What should be included in the plan of care?
4. What risk factors are associated with this age group?
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