[Verified Answer]: Case Study: Obstructive and Restrictive…

Case Study: Obstructive and Restrictive Lung Diseases The following six questions are part of an unfolding case study. Question 1 / 6 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Recognize Cues Review the electronic health record and respond to the question that follows. History & Physical Date/TimeHistory & Physical 03/12/20XX 0534 Chief Complaint: fatigue, shortness of breath with productive cough History of Present Illness: Alfonso Smith (pronouns he/him/his), a 74-year-old male, presents with complaints of fatigue, dyspnea, and a cough with yellowish-red tinged sputum. He was diagnosed with a viral upper respiratory tract infection 2 days ago and states, “I am getting worse.” Up to date with influenza and COVID vaccinations. Negative influenza and COVID tests. Medications: Multivitamin, ferrous sulfate, calcium carbonate, metformin, Lipitor Past Medical History: type 2 diabetes mellitus, anemia, hypercholesteremia Review of Systems: General: Clean, well-groomed appearance Neurological: Alert and oriented to person, place, time, and situation (A&O x 4) Cardiovascular: Tachycardic. S1 and S2 are present, and the capillary refill is less than 3 seconds Respiratory: Respirations shallow and rapid at rest; Inspiratory crackles Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain Genitourinary: Denies any GI symptoms Musculoskeletal: Denies any pain. Ambulates unassisted Integumentary: Skin pink, warm, and dry Allergies: None reported Social History: Retired; lives with spouse Family History: No significant family history was reported Vital Signs: Temperature: 101.4 °F (38.6 °C); Heart rate: 102 bpm; Respiratory rate: 32 breaths per minute; Blood pressure: 136/76 mmHg; Pulse oximetry: 95% on room air Select the three (3) findings that require immediate follow-up by the nurse practitioner (NP). Breathing pattern Temperature Blood pressure Neurological status Respiratory rate Inspiratory crackles