MN568 Advanced Practice Nursing – Case Study – Hypertension

No Plegarism please, assignment will be checked with Turnitin.

Will need minimum of 3 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 5 years (2014-2018).

 

Hypertension Case Study

 

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.

 

PMH

Allergic Rhinitis

Depression

Hypothyroidism

 

Family History

Father died at age 49 from AMI: had HTN

Mother has DM and HTN

Brother died at age 20 from complications of CF

Two younger sisters are A&W

 

Social History

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 “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.

 

Medications

Zyrtec 10 mg daily

 

Allergies

Penicillin

 

ROS

States that his overall health has been fair to good during the past year.

Weight has increased by approximately 30 pounds in the last 12 months.

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.

Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.

Denies any nausea, vomiting, diarrhea, or blood in stool.

Self treats for occasional right knee pain with OTC Ibuprofen.

Denies any genitourinary symptoms.

 

Vital Signs

B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.

 

HEENT

TMs intact and clear throughout

No nasal drainage

No exudates or erythema in oropharynx

PERRLA

Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema

 

Neck

Supple without masses or bruits

Thyroid normal

No lymphadenopathy

 

Lungs

Mild basilar crackles bilaterally

No wheezes

 

Heart

RRR

No murmurs or rubs

 

Abdomen

Soft and non-distended

No masses, bruits, or organomegaly

Normal bowel sounds

 

Ext

Moves all extremities well

 

Neuro

No sensory or motor abnormalities

CN’s II-XII intact

DTR’s = 2+

Muscle tone=5/5 throughout

 

What you should do:

Develop an evidence-based management plan.
Include any pertinent diagnostics. (Screening Chest Xray/EKG, LABS, referrals to cardiologist to eval cardiovascular disease, smoking cessation education, nutritional consult)
Describe the patient education plan. (lifestyle changes, weight management, AHA/DASH diet)
Include cultural and lifespan considerations. ( Common in African American )
Provide information on health promotion or health care maintenance needs.
Describe the follow-up and referral for this patient.
Prepare a 3 page paper (not including the title page or reference page).

Psychiatric Nursing

College Essays Online:

Why Choose Us

College Research Papers

We offer professionally written research papers to our clients. We ensure all instructions are followed and that your custom paper is perfect. For a custom research paper, we have expert writers to help you. They will write your paper and earn you good grades

Professional Academic Writers

Are you looking for professional essay writers? Do you need custom paper writers to do your assignment? College essays online is packed with experienced writers who will handle your write my essay request. Order today to get quality services

Free Unlimited Revisions

Do you feel like your paper did not meet the requirements? Is there some instructions that have been skipped? Do not panic. Resubmit your essay for free and unlimited revisions. College essays online work to ensure our clients are satisfied.

Fast Delivery

Do you have an urgent essay and you don't know what to do? Do you have very little to do your assignments. Visit our online essay writing service for assistance. We have professional essay writers who will take your urgent paper. We have the best turn-around timein the market

Plagiarism-free Papers

If you are looking for a place to find original and plagiarism-free papers, visit collegessaysonline.com. We write your essay from scratch following your instructions. We ensure that every requirement is met, be it quality, delivery time, instructions etc.

24/7 Customer Support

If you have any concern or request, contact us anytime. We have a large team of customer support that are available 24/7. If it's a revision, send the revision file and any additional instructions and we will take care. Do not hesitate, Place an order with us today!

Our Services

Argumentative essay help

Are you looking for help with an argumentative essay? Do you have difficulties writing an argumentative essay? College essays online is here to help you. We will write a custom essay that meets your requirements. Do not feel overwhelmed, visit our cheap college essay website for professional academic writing help.

Reflection paper help

Do you need help with a reflection paper? Are you feeling challenged when writing a reflective essay? Are you looking for someone to write my reflection essay help? College essay writers have the answer to your problems. Submit your reflective paper assignment and let our paper writers do the difficult work.

Scholarship essay

If you are looking for someone to write an award winning scholarship essay, you landed at the right place. Our custom essay writers are professionals and have a 10 year experience. We will write a scholarship paper that will impress the scholarship committee. Hurry to get 25% discount.

Critical thinking essay

Are you looking for a critical analysis essay help? Do you need an online essay writing service to write your critical thinking essay? Visit our college essay website for help. We have professional essay writers who will develop a perfect critical essay for you.

Ethical research essay

Ethics is a prominent subject in many schools. Professors often ask students to reflect on a topic on ethics and write an essay. This requires a lot of research and knowledge. If you have been assigned an ethical research essay, contact essay writers at college essays online for assistance.

Narrative essay writing

A narrative essay requires a student to tell a story about something. It might be historical or a present narration. This type of essay follows certain rules and instructions. When you face challenges writing a narrative paper, visit our narrative essay writing service.

adana escort - escort eskişehir - mersin escortadana escort - escort eskişehir - mersin escort