Name: Laura Jackson Age: 39

Chief Complaint (CC): Headache

The nurse educator is working in a primary care setting. The next patient is a 39 year-old who is coming in for evaluation of her headaches.

Vital Signs: BP 110/80; Heart Rate 72 bpm; respirations 20 breaths per minute; temperature 98.1°F

Answer and support the following questions about the subjective data:

1. Determine specific questions the nurse educator could ask the patient related to the history of present illness?

2.Discuss the specific past medical history important to know for this patient?

3.Identify specific information that would be helpful in the patient’s family history?

4. Identify specific information that would be needed about the patient’s social history?

5. Explain what systems need to be included in the review of the systems and describe the specific information needed for each of the systems

6. 2 peer reviewed references less then 5 years old


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