Health Assessment – Nursing 302 Spring 2017
At the conclusion of this lesson,
students will be able to:
Case Study K.B.
K.B. is a 39-year-old AAF female who drove herself to the Urgent Care Center with complaints of sudden right sided facial weakness and drooping over the last twenty-four hours. She reports that the symptoms started after she left her job as an Administrative Assistance for a local RealEstate Firm. The client states that she also have right-sided ear and jaw pain with a lump in her neck. The client is concerned about eating although she denies difficulty swallowing. The client’s vital signs are; Temp 101.2, Heart rate 99 Respiration18, and Blood Pressure 120/76. With tears in her eyes, the client states that she has a history of Herpes Simplex Virus ( HSP) that she contracted from her husband before they were divorced and frequent upper respiratory infections. Her current medical history includes an upper respiratory infection in which she reports having one week ago. K.B. was given a prescription for Zithromax 500 mg for five days in which she only completed three days of the antibiotic. K.B. also takes Valtrex 500 mg daily to prevent reoccurrence of the herpes virus outbreak. K.B is an only child who is in her second year of college majoring in Business Administration. Both of her parents are living. Her mother has a history of diabetes, and high blood pressure and her father have no significant medical history.
Please input pertinent data in all sections of the Health History (use the template in your laboratory workbook or create your own in a table format).