History of Present Problem: Mary Johnson, a

History of Present Problem: Mary Johnson, a 56 year old women, presented to the ED stating that when she woke up this morning she started have some jaw pain and felt “a little short of air.” States she has had 2 weeks of nausea and heartburn and has felt “more tired” than normal over the past 1-2 months. She stated she has taken omeprazole for 2 weeks and it has not helped her heartburn. Mrs. Johnson currently denies chest pain. Personal/Social History: Mrs. Johnson lives at home with her husband. She teaches kindergarten at a local school and is active in her community. She has 2 grown children that live out of town. She states she smokes 6 cigarettes a day and rarely has time to exercise. She and her husband eat out at least 2-3 times a week. What data from the histories are important, RELEVANT, and have clinical significance for the nurse? RELEVANT Data from the Present Problem: Clinical Significance: RELEVANT Data from the Social History: Clinical Significance:

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