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[Answered]: Chief Complaint: Fatigue and Dyspnea with…

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Chief Complaint: Fatigue and Dyspnea with Exertion History of Present Illness: Anika Hernandez (pronouns she/her/hers), 36 years old, was admitted to the medical-surgical unit for complications post-gastric bypass surgery 3 months ago; Reports weight loss of 32 pounds (14.5 kg) since surgery and new onset of dyspnea on exertion 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: Regular rate and rhythm (RRR); S1 S2 present; Sinus tachycardia on monitor Respiratory: Respirations even and unlabored at rest; Lungs clear to auscultation (CTA) Gastrointestinal: Within normal limits; Reports regular bowel movements Genitourinary: Within normal limits (WNL); Last menstrual period (LMP) was 1 week ago Integumentary: Pale and cool skin; Capillary refill less than 3 seconds; No bruising noted. Home Medications: Calcium carbonate, vitamin C, birth control, acetaminophen PRN Complete the following sentence by choosing from the list of options. Based on the client history, the nurse practitioner (NP) should recognize that the client has most likely developed hypothyroidismanemiaheart failure.

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