Brandon Wallace is a 38-year-old client who presents to provider’s office for a pre-employment and annual physical. The client states they will begin working at a manufacturing plant, following passing a health physical assessment. The nurse is obtaining the client’s health history and physical. Client is alert and oriented to person, place, and time. Heart sounds S1, S2 heard upon auscultation. Lung sounds are clear in all lobes. Abdomen is soft and non-tender. Bowel sounds are normoactive in all quadrants. Last bowel movement was yesterday. Able to move all extremities, +2 peripheral pulses and skin turgor is greater than 2 seconds. Client denies pain or discomfort. Had appendectomy 5 years ago. Client has GERD and takes medication for. Client smokes one pack per day of cigarettes (for the last 20 years) and has 5 to 7 alcoholic drinks per week. Client weighs 113 kg (250 lb) and height is 6 feet (72 inches). Laboratory values drawn. Vital signs are temperature: 36.7 C (98.1 F), Blood pressure: 162/96 mm Hg, Heart rate: 86/minute, Respiratory rate 20/min, and oxygen saturation on room air is 98%. Which of the following concerns should the nurse plan to address? (Select all that apply.)
[Expert Solution]: Brandon Wallace is a 38-year-old client…
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