Nursing Assessment of the cardiac status

Georgina Graves is a 42-year-old female who presents to the provider’s office with fatigue.Subjective DataPMH: none, (except gynecological issues)Significant family history of heart diseaseFatigue started about 2 months ago, getting worseRelieved with rest, exacerbated with activityDenies chest painC/O shortness of breath on exertionSmoker 1 PPDObjective DataVital signs: T 37 P 100 R 18 BP 110/54Lungs: clearO2 Sat = 94%Skin = cool to touchCV = heart rate regular, positive peripheral pulses, ECG = intermittent complete left bundle branch block (New Finding)EdemaMedications: Premarin 0.3 mg po/dayWhat other questions should the nurse ask about the fatigue?What other assessments would be necessary for this patient?What are some causes of fatigue?What should be included in the plan of care?Based on the readings, what is the most likely cause of fatigue for this patient?Apa format requiredReference:Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.Chapter 18: Thorax and Lungspp. 413–441 (Structure, Function, The Thoracic Cavity, Developmental Competence, Subjective Data, Objective Data)Chapter 19: Heart and Neck Vesselspp. 459–492 (Structure and Function, Heart Wall, Chambers, and Valves, Heart Sounds, Developmental Competence, Subjective Data, Objective Data )Chapter 20: Peripheral Vascular System and Lymphatic Systempp. 509–529 (Structure and Function, Lymphatics, Developmental Competence, Subjective Data, Objective Data)