Terms in this set (28)

Original
Asked about heart problems
Denies heart problems

Asked about heartbeat
– reports normal heartbeat
– reports normal heart rate
– denies palpitations
– denies arrhythmia

Asked about high blood pressure
– denies high blood pressure
– reports last blood pressure check Finding:
– reports last blood pressure check 140 over 80 or 90
– reports belief that current blood pressure is on the high side of normal range

Asked about heart murmur
Denies heart murmur

Asked about swelling
Denies swelling other than foot wound

Asked about blue skin
Denies blue skin

Asked about cardiac tests
– Denies having a stress test
– Denies having an echocardiogram
– Denies having a coronary artery CT scan

Asked about cardiac surgeries
– Denies having a heart catheterization
– Denies having angioplasty or stent
– Denies having a pacemaker

Asked about chest pain
– Denies chest pain
– Denies angina

Asked about chest tightness
– Reports chest tightness during asthma exacerbations
– Denies current chest tightness

Asked about breathing problems
– Reports wheezing
– Reports shortness of breath
– Denies waking at night, unable to breathe
– Denies sleep apnea
– Denies difficulty breathing when lying down
– Denies current breathing problems

Followed up on breathing problem triggers
Reports breathing problems occur during asthma exacerbations

Asked about leg cramping
Denies leg cramping

Asked about mobility
Reports being immobile for past three days

Asked about Venous Thrombosis
– Denies tender or painful areas other than foot wound
– Denies redness other than foot wound
– Denies unusual warmth
-Denies history of venous thrombosis

Asked about cholesterol
Denies cholesterol problems

Asked about dietary habits
– Reports drinking Diet Coke
– Reports trying to avoid sugar
– Reports not worrying about diet

Asked about perceived weight
– Reports being overweight for whole life
– Reports being satisfied with weight

Asked about recent weight change
– Reports recent weight loss
– Reports losing about 10 lbs

Asked about alcohol intake
– Reports last alcoholic drink was 3 weeks ago
– Reports no more than 2 or 3 alcoholic drinks in one sitting
– Reports no more than 1 or 2 nights a week drinking alcohol

Asked about illicit drugs
– Reports history of smoking recreational marijuana
– Denies current use of recreational marijuana

Asked about tobacco use
– Denies tobacco use
– Denies vaping

Asked about secondhand smoke
Denies exposure to secondhand smoke

Asked family history of high blood pressure
– Reports mother has high blood pressure
– Reports father had high blood pressure
– Reports maternal grandfather had high blood pressure
– Reports paternal grandmother has high blood pressure
– Reports maternal grandmother had high blood pressure
– Reports paternal grandmother has high blood pressure

Asked family history of high cholesterol
– Reports mother has high cholesterol
– Reports father had high cholesterol
– Reports maternal grandfather had high cholesterol
– Reports paternal grandfather had high cholesterol
– Reports maternal grandmother had high cholesterol

Asked family history of stroke
Reports maternal grandmother died of stroke

Asked about family history of heart attack
Reports maternal grandfather died of heart attack

Asked about family history of obesity
Reports some family members are overweight