Question

A 29-year-old, female patient comes to the clinic with complaints of daily fatigue and external dyspnea. Upon physical examination, the nurse practitioner notes glossitis, angular cheilitis, and koilonychia. Her vital signs are 122/80 mmHg, 102 bpm, 16 RR, 99% SPO2, 98.4 temp. All of the following are important to assess in this patient except?

a. Pregnancy
b. Menstration
c. Diet habits
d. Family history of anemia

Answer 1

In a case of a 29-year-old female patient with symptoms of fatigue and external dyspnea, assessing pregnancy, menstruation, and diet habits is important to identify possible iron-deficiency anemia. Family history of anemia is not as relevant unless hereditary disorders are suspected.

Step-by-step explanation:

In evaluating a 29-year-old female patient presenting with symptoms of daily fatigue and external dyspnea, it's crucial to assess aspects of her health and lifestyle that could contribute to these symptoms. The clinical signs of glossitis, angular cheilitis, and koilonychia may indicate an underlying nutritional deficiency, such as iron-deficiency anemia. Important factors to assess are: pregnancy, which can cause increased nutritional needs; menstruation, which can lead to significant iron loss in some women; and diet habits, as poor dietary intake can result in nutrient deficiencies. However, family history of anemia is less likely to be relevant in this case unless the anemia is due to hereditary disorders like thalassemia or sickle cell anemia, which are not indicated by the patient's symptoms and clinical findings.