One of the primary roles of a nurse is the

Kate Parker is a 64-year-old, Jamaican American female patient who comes to the clinic reporting “dizziness and near-fainting that has been happening off and on for the last 48 hours.” She reports a 10-year history of hypertension, which she describes as usually controlled. She considers herself as healthy, other than being recently ill with a bad case of influenza. Med list current (see below)—she took all medications as scheduled this morning. She denies any pain, palpitations, angina, or signs of stroke (facial droop, arm weakness, or trouble with speech). Physical assessment reveals an irregular heart rate, weak peripheral pulses, cool, pale skin; and decreased capillary refill. The ECG shows atrial fibrillation. Ms. Parker reveals that she is in the United States illegally and is undocumented. The patient expresses concern about her status as you prepare her for treatment. PMH: Other active problems: hyperlipidemia and hypertension Medical, surgical, obstetric, hospitalizations: Appendectomy at age 20; no other hospitalizations or surgical procedures Rx (Medications)/allergies: Rx (Currrent): Nebivolol (Bystolic) 5 mg daily Lisinopril and hydrochlorothiazide 20/25 mg daily ASA 81 mg daily Atorvastatin (Lipitor) 40 mg daily Allergies: No allergies to food or medicine

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