Shortness of breath upon Minimal exertion
Nurses’ Note – 1100 – Cardiac: Tachycardia; chest pain rated 6/10 scale; shortness of breath upon minimal
exertion; hypertension noted. . What’s missing from the above documentation? Re-write the entry using all
the descriptive information following the PQRST format (Provoke, Quality, Radiation, Severity, and timing)


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