Fred McCormick comes to the clinic today complaining of inte…
Fred McCormick comes to the clinic today complaining of intermittent pain in his chest, worried he is having a heart attack. Pain started two days ago. His history: Age 38; no hypertension; mild hyperlipidemia treated with diet therapy; life-long non-smoker; parents; siblings all alive & well with no family of CAD; no previous hx of PVD or CVA/TIA; BMI is overweight, but not obese. Physical assessment: Stable VS, 124/67, HR 88, Regular rhythm, non murmurs, cleart lung sounds. Chest wall palpitation reveals tenderness and reproducible pain at the costo-sternal area. EKG: normal sinus rhythm with no ST changes. The nurse practitioner should proceed with which of the following: