[Solved]: NURSING ASSESSMENT & NOTES Nursing Note: Came to…

NURSING ASSESSMENT & NOTES Nursing Note: Came to clinic with fatigue, dizziness, and palpitations during her past few cross-country track meets. She was able to run about miles, but after that, her symptoms arose, and she could not finish the races. She notes she is often more short of breath after running than usual. After resting for 20-30 minutes, her symptoms are alleviated. Her season started 3 weeks ago. Last year, was able to run 5-6 miles and keep up with her friends with no problem. Denies any recent illnesses, injuries, or chest pain. States she has been more irritable lately. Her period has been a regular 28-day cycle with no change in menstrual flow. Notes that she drinks at least 68 ounces of water every day, eats a healthy vegan diet with plant-based protein, and exercises frequently. Started the vegan diet because she wanted to eat healthier and did not enjoy the taste of animal products. 6/20 1620 Cardiovascular: Normal S1 and S2, rate and rhythm regular, without , or extra heart sounds. Pulses 2+ throughout all extremities and no edema noted. Respiratory: Lung sounds clear and equal expansion bilaterally. Without labored breathing or accessory muscle use. Gastrointestinal: Regular bowel sounds in all quadrants. No lumps, masses, or tenderness with palpation to abdomen. Musculoskeletal: Regular motor functions with no physical deformities to extremities. Able to ambulate with steady movements, weight evenly distributed. Bilateral equal hand grasp and lower extremity muscle strength +5 . No scoliosis or swelling noted in joints. Has full range of motion in all joints. 6/20 Nursing Note: Mother agitated and yelling at daughter, saying, “I told you not to go vegan, and now look, we have to pay for expensive 1620 blood work. So you are going to repay me for this. Plus, buying just vegan food is so expensive. So how do you expect me to keep paying for and buying special food just for you?* Client states she started a vegan diet a year ago. Before answering this question, review the client’s health information in the EHR. Indicate the foods that the nurse should specifically encourage this client to increase iron and adhere to the vegan diet. Select one from each row.