2025 Comprehensive I-Human Case Study: James Taylor 39-Year Old Male With Shortness Of Breath (Chamberlain University) |

2025 COMPREHENSIVE I-HUMAN CASE STUDY: JAMES TAYLOR - 39-YEAR OLD MALE WITH SHORTNESS OF BREATH (CHAMBERLAIN UNIVERSITY) | ADVANCED DDX CASE PLAY SETUP & FULL CASE ANALYSIS INCLUDING HPI, ROS, PE, DIAGNOSTICS Full Name: James Taylor Age: 39 years Date of Birth: August 14, 1986 Sex: Male Race/Ethnicity: Caucasian Marital Status: Married Occupation: Warehouse Supervisor Education Level: High school graduateAddress: 1247 Brookside Lane, Springfield, IL Living Situation: Lives with spouse and two children Insurance: Employer-sponsored PPO medical plan Emergency Contact: Name: Emily Taylor (spouse) Phone: (555) 294-8002 ICD-10 CODES Primary Diagnosis J18.9 - Community-acquired pneumonia, unspecified organism Secondary / Related Codes R06.02 - Shortness of breath R05.1 - Acute cough R07.89 - Other chest tightness Z87.891 - Personal history of nicotine dependence Z77.090 - Exposure to environmental tobacco smoke / dust (workplace exposure) NANDA-BASED NURSING CARE PLAN 1. Nursing Diagnosis (NANDA) Ineffective Breathing Pattern (00032) Related to: Infection/inflammation of lung tissue Increased work of breathing HypoxemiaEvidenced by: Respiratory rate 22 SpO 93% on room air Patient reports dyspnea Use of accessory muscles (mild) Desired Outcomes (NOC) Respiratory Status: Gas Exchange (0402) Target outcomes: SpO 95% on room air RR within normal range Improved breath sounds Patient reports decreased shortness of