How to Answer Chief Complaint Generalized Questions (Complete Guide)
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Original Question
Chief Complaint: Generalized rash and wheezing​ History of Present Illness: Mrs. Andrews is a 64-year-old female who presented to the primary care office yesterday with complaints of burning on urination x 3 days. Reports intermittent incontinence. Returns today after taking the first dose of prescribed nitrofurantoin one hour prior to arrival. Generalized rash, nonproductive cough, and wheezing were noted. ​ Review of Systems:​ General: Clean, well-groomed appearance​ Neurological: Alert and oriented to person, place, time, and situation (A&O x 4); appears anxious​ Cardiovascular: Tachycardic. S1 and S2 present Respiratory: Respirations even and labored; expiratory wheezing​ Medications: Sulfamethoxazole/trimethoprim, multivitamin, melatonin HS PRN​ Integumentary: Generalized, raised rash to arms and anterior neck, urticaria Allergies: None reported per patient​ Vital Signs: Heart rate: 110 bpm; Respiratory rate: 28 breaths per minute; Blood pressure: 92/58 mmHg; Pulse oximetry: 96% on room air Based on the client’s history, the nurse practitioner (NP) should recognize that the client is experiencing a hypersensitivity reaction where produce systemic effects. Systemic effects, such as vasodilation, support clinical manifestations of . Constriction of bronchial smooth muscle also occurs, which explains respiratory symptoms of .
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