Question

History of Present Problem: M.K is an 88-year-old woman who is widowed and lives alone in her home. Her son comes by one day to take her to the grocery store and finds her still in bed at 9 am. Usually she is up by 6 am. He had noticed that she had seemed a bit more tired lately, but this is very unusual. He brings her into the urgent care clinic because she seems so pale and weak; he was scared when he saw that she had to stop and catch her breath several times just walking to the living room. She is dressed in several layers of clothing and says she is cold. MK. reports that she has always been healthy and hasn't seen the need to see a doctor in about five years. She says that she is frustrated that she can't do anything anymore without having to stop to catch my breath." She says she sleeps 10 hours most nights, but still needs a nap most days. She denies taking any medications, but says that she cats dried prunes everyday to stay regular." And she reports taking vitamin supplement powder to keep my energy up, though it doesn't seem to be working lately." She reports that she usually cats rice and vegetables with lots of garlic. She says that she is not opposed to meat, but it is expensive so she only cats it on special occasions. What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? RELEVANT Data from Present Problem: Clinical Significance: What focused assessments will be a priority and whar is the clinical significance? Focused Assessment Clinical significance:

Answer 1

Relevant DATA from Present Problem	Clinical Significance
more tired; pale and weak; she had to stop and catch her breath several times; she feels cold.	Anemia can be a reason for pale face and a weak body. Changes in dietary habits can overcome this. Shortness of breath can be due to heart and lung conditions. Low hemoglobin, muscle weakness, exposure to smoke are the risk factors associated with it.
Focused Assessment	Clinical Significance
she eats dried prunes every day; she sleeps 10 hours most nights but still needs a nap most days; she takes vitamin supplement powder; she usually eats rice and vegetables with lots of garlic; she had to stop and catch her breath several times; she feels cold; more tired.	Eating dried prunes is definitely good for health as it is a good source of fibers and helps to lower cholesterol levels. Prunes should not be taken regularly as it contains high natural sugar.