Prof. Roth and class, Since Esther Jackson is a 1-day post-op, presented with those symptoms, a complete focus cardiac assessment need with regard to every details. Client Esther is a 56 year old African American woman, and has a surgery follow with one day of rest, and with a pulse "all over the place." These symptoms may be caused by pulmonary embolism. Pulmonary embolism may describe as follow, pain location " pain can be experienced in chest, back, should, or upper abdomen, pain describe as " sharp, stabbing pain worsening with deep breath." (Javis 2014 P. 493). After clinical findings were collected, a chest x-ray is needed to confirm the diagnosis of PE.