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70-year-old man with a history of CHF, COPD, and HTN; currently smokes one pack of cigarettes...

70-year-old man with a history of CHF, COPD, and HTN; currently smokes one pack of cigarettes daily; takes Lisinopril, Digoxin, and Symbicort daily. Married to wife of 30 years and is retired (previously an accountant), is supported by adult children, and lives with his wife at home. What are 3 differential diagnosis based on patient symptoms of shortness of breath, fever, chest pain, and flank pain?

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Answer #1

A 70-year-old man with a history of CHF, COPD, and HTN.

Current symptoms are shortness of breath, fever, chest pain, and flank pain.

Nursing Diagnosis

1. Ineffective breathing pattern related to the chronic obstructive pulmonary disease as evidence by dyspnea.

2. Elevated body temperature related to chest infection as evidenced by body temperature above the normal range.

3.chronic Pain in chest and back related to heart disease as evidenced by patient verbalization.

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