Get Answer: Chief Complaint Joint Question Guide
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Original Question
Chief Complaint: Joint pain, rash, and fatigue​ Allergies: Non-steroidal anti-inflammatory drugs (NSAIDs) (difficulty breathing)​ History of Present Illness: 28-year-old female, admitted to the telemetry unit for exacerbation of systemic lupus erythematosus (SLE). Reports 102 °F (38.8 °C)​ fever for last 2 days Review of Systems:​ General: Fatigue​ Neurological: Alert and oriented to person, place, time, and situation (A&O x 4); Pupils equal, round, reactive to light, and accommodation (PERRLA)​ Cardiovascular: Sinus tachycardia on cardiac monitor; Regular rate. S1 and S2 present Respiratory: Respirations even and unlabored at rest; Lungs clear to auscultation (CTA)​ Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain​ Genitourinary: Denies urinary symptoms. Last menstrual period (LMP) 2 weeks ago​ Integumentary: Skin pink, warm, and dry. Rash covering cheeks and bridge of the nose; dry red patches with purulent drainage on the face; no bruising noted Musculoskeletal: Reports muscle weakness and joint pain 5/10 on pain scale​ Home Medications: Phenytoin, birth control, ferrous sulfate, acetaminophen as needed (PRN) For each potential order, click to specify if it is indicated or contraindicated for the nurse practitioner (NP) to order. Indicated Contraindicated IV 0.9% NS 1,000 mL at 100 ml/hr Immunotherapy injection Antipyretic Antibiotic Analgesic Corticosteroid Non-steroidal anti-inflammatory drug, and iron supplement
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