Nursing homework help<\/p>\n
Assignment Details
\nThis Assignment will assess your ability to evaluate subjective and objective information in order to arrive at an appropriate diagnosis and treatment plan for the patient.<\/p>\n
Hypertension Case Study<\/p>\n
C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.<\/p>\n
PMH<\/p>\n
Allergic Rhinitis<\/p>\n
Depression<\/p>\n
Hypothyroidism<\/p>\n
Family History<\/p>\n
Father died at age 49 from AMI: had HTN<\/p>\n
Mother has DM and HTN<\/p>\n
Brother died at age 20 from complications of CF<\/p>\n
Two younger sisters are A&W<\/p>\n
Social History<\/p>\n
The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to \u201csalting almost everything he eats, sometimes even before tasting it.\u201d He denies ever having dieted or exercised.<\/p>\n
Medications<\/p>\n
Zyrtec 10 mg daily<\/p>\n
Allergies<\/p>\n
Penicillin<\/p>\n
ROS<\/p>\n
States that his overall health has been fair to good during the past year.<\/p>\n
Weight has increased by approximately 30 pounds in the last 12 months.<\/p>\n
States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.<\/p>\n
Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.<\/p>\n
Denies any nausea, vomiting, diarrhea, or blood in stool.<\/p>\n
Self treats for occasional right knee pain with OTC Ibuprofen.<\/p>\n
Denies any genitourinary symptoms.<\/p>\n
Vital Signs<\/p>\n
B\/P 190\/120, HR 73, RR 18, T. 98.8 F., Ht 6\u20191\u201d, Wt 240 lbs.<\/p>\n
HEENT<\/p>\n
TMs intact and clear throughout<\/p>\n
No nasal drainage<\/p>\n
No exudates or erythema in oropharynx<\/p>\n
PERRLA<\/p>\n
Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema<\/p>\n
Neck<\/p>\n
Supple without masses or bruits<\/p>\n
Thyroid normal<\/p>\n
No lymphadenopathy<\/p>\n
Lungs<\/p>\n
Mild basilar crackles bilaterally<\/p>\n
No wheezes<\/p>\n
Heart<\/p>\n
RRR<\/p>\n
No murmurs or rubs<\/p>\n
Abdomen<\/p>\n
Soft and non-distended<\/p>\n
No masses, bruits, or organomegaly<\/p>\n
Normal bowel sounds<\/p>\n
Ext<\/p>\n
Moves all extremities well<\/p>\n
Neuro<\/p>\n
No sensory or motor abnormalities<\/p>\n
CN\u2019s II-XII intact<\/p>\n
DTR\u2019s = 2+<\/p>\n
Muscle tone=5\/5 throughout<\/p>\n
What you should do:<\/p>\n
Develop an evidence-based management plan.
\nInclude any pertinent diagnostics.
\nDescribe the patient education plan.
\nInclude cultural and lifespan considerations.
\nProvide information on health promotion or health care maintenance needs.
\nDescribe the follow-up and referral for this patient.
\nPrepare a 3\u20135-page paper (not including the title page or reference page).
\nAssignment Requirements:<\/p>\n
Before finalizing your work, you should:<\/p>\n
be sure to read the Assignment description carefully (as displayed above);
\nconsult the Grading Rubric to make sure you have included everything necessary; and
\nutilize spelling and grammar check to minimize errors.
\nYour writing Assignment should:<\/p>\n
follow the conventions of Standard English (correct grammar, punctuation, etc.);
\nbe well ordered, logical, and unified, as well as original and insightful;
\ndisplay superior content, organization, style, and mechanics; and
\nuse APA 6th Edition format as outlined in the APA Progression Ladder.
\nHow to Submit:<\/p>\n
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.<\/p>\n
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.<\/p>\n","protected":false},"excerpt":{"rendered":"
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