I HUMAN WEEK 8 NURS 2026 68 YEAR OLD WANDA PENCE PRESENTING WITH CHEST PAIN, PALPITATIONS, AND DYSPNEA AT EMERGENCY DEPARTMENT UTILIZING SYSTEMATIC CARDIOVASCULAR ASSESSMENT, DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-BASED MANAGEMENT   ______________________

I HUMAN WEEK 8 NURS 2026 68 YEAR OLD WANDA PENCE
PRESENTING WITH CHEST PAIN, PALPITATIONS, AND
DYSPNEA AT EMERGENCY DEPARTMENT UTILIZING
SYSTEMATIC CARDIOVASCULAR ASSESSMENT,
DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-BASED
MANAGEMENT

,PATIENT INFORMATION
 Age: 68 years
 Sex: Female
 Height: 5′5″ (165 cm)
 Weight: 185 lb (84.1 kg)
 Location: Emergency department
 Reason for Encounter: Chest pain and shortness of breath

Explanation: The patient is a 68-year-old female presenting to the emergency department with
acute chest pain, palpitations, and worsening shortness of breath requiring urgent cardiovascular
assessment.

, REASON FOR ENCOUNTER
Category Details
Encounter Type Emergency Department visit
Chief Complaint Chest pain and dyspnea
Duration 5 hours
Frequency Continuous
Associated Symptoms Palpitations, diaphoresis, nausea
Aggravating Factors Exertion
Relieving Factors Rest (mild relief)
Systemic Symptoms Fatigue, mild dizziness
Patient Goals Pain relief and diagnostic clarity

Explanation: Wanda presents with chest discomfort and difficulty breathing that began earlier
today and has progressively worsened, significantly restricting her activity and prompting
emergency evaluation.