[Solved]: Nurses’ Notes: 2 days ago: Client presents to the…

Nurses’ Notes: 2 days ago: Client presents to the provider’s office reporting generalized pain that has been progressively worsening over the past few days. Client reports pain as 5 on a scale of 0 to 10. The client reports a past medical history of sickle cell disease and takes 1000 mg Hydroxyurea daily PO. Physical Exam: General: Pleasant, in mild distress. Respiratory: Lung sounds are clear bilaterally. Cardiovascular: S1, S2, no murmur auscultated. Abdomen: Soft, nontender, bowel sounds are active in all four quadrants. Skin: Warm, and dry. Today: Client presents to the provider’s office reporting increased generalized pain, states it is painful to take deep breaths. Client reports pain as 10 on a scale of 0 to 10. Client has not slept due to pain and is fatigued. The client has been taking the NSAIDS prescribed 2 days ago, the hydroxyurea as prescribed, and trying yoga without successful relief of pain. Physical Exam: General: Pleasant, appears anxious, in moderate distress. Respiratory: Lung sounds are diminished throughout. Cardiovascular: S1, S2, no murmur auscultated. Abdomen: Soft, nontender, bowel sounds are hypoactive. Skin: Warm, and dry. the client is at the highest risk for developing (pulmonary hypertension, pneumonia, sickle cell, or DVT pick one) as evidenced by the clients (increasing pain, chest pain, skin discoloration, fatigue)