NSG 6005 Week 3 Discussion.docx - Mr JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion He says it started

NSG 6005 Week 3 Discussion.docx - Mr JD is a 24-year-old...

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Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a "normal cold" and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies. In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally. 1. Is there any additional subjective or objective information you need for this client? Explain. I would want to find out more about his medical history. For instance, has he had a history of respiratory complications such as pneumonia, bronchitis or asthma? I would ask question concerning social activities such as smoking, and alcohol intake. Inhaling cigarette smoke can irritate the nasal passages and exacerbate symptoms related to upper and lower respiratory conditions. Consuming alcohol can have a diuretic response and can lead to dehydration which can increase the thickness of mucus within the sinuses and cause further congestion [ CITATION StJ18 \l 1033 ]. I would also inquire about current medications that he has been taking for this current condition and whether or not they have alleviated the symptoms.
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  • Fall '16
  • Headache, nasal congestion, Sinusitis, Chow

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