10.9 Clinical Judgment: Case Study

A 26-year-old client has not been feeling well for 4 days. The client reports starting a new job at a drop-in center for adolescents in the community. Enlarged tonsillar lymph nodes, 2 cm bilaterally, tender to touch, and accompanied with a sore throat, cough, earache, and fatigue. The client reports feeling excited and stressed with the new job, and has not been eating very much due to an unsettled stomach. Client’s vital signs are: blood pressure 100/68 mm Hg, pulse 64 bpm, respiration 12 bpm, O2 sat 97%, temperature 38.2 ºC  / 100.7 °F tympanic.