MN568 Advanced Practice Nursing – Case Study – Hypertension

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Home>Homework Answsers>Nursing homework helpNo Plegarism please, assignment will be checked with Turnitin.Will need minimum of 3 full content pages,plustitle, 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 StudyC.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.PMHAllergic RhinitisDepressionHypothyroidismFamily HistoryFather died at age 49 from AMI: had HTNMother has DM and HTNBrother died at age 20 from complications of CFTwo younger sisters are A&WSocial HistoryThe 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.MedicationsZyrtec 10 mg dailyAllergiesPenicillinROSStates 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 SignsB/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.HEENTTMs intact and clear throughoutNo nasal drainageNo exudates or erythema in oropharynxPERRLAFunduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledemaNeckSupple without masses or bruitsThyroid normalNo lymphadenopathyLungsMild basilar crackles bilaterallyNo wheezesHeartRRRNo murmurs or rubsAbdomenSoft and non-distendedNo masses, bruits, or organomegalyNormal bowel soundsExtMoves all extremities wellNeuroNo sensory or motor abnormalitiesCN’s II-XII intactDTR’s = 2+Muscle tone=5/5 throughoutWhat 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).MN568_U3_Rubric.xlsx7 years ago05.05.201830Report issueAnswer(1)Catherine Owens4.7(3k+)4.7(183)ChatPurchase the answer to view itNOT RATEDCasestudy1.docx7 years agoplagiarism checkPurchase $30Bids(46)Dr shamille ClaraDr. Claver-NNPaula HogCatherine OwensThe grAdeCharandryMiss Professorjammiekim woodsMadam Prof’Dr Candice_2547EliteExpertsPhD. MilkaMartin WriterGoodwriterkatetutorComputer_Science_Expertlibrarysmartsphyllis youngResearchProother Questions(10)Wind is included along with gravity, water, and ice as an agent of erosion. In many areas of natural beauty,…Are humans experiencing microevolution due to natural selection? If yes, propose an example. If no, explain why not. Cite your…SCI 207 Week 5 DQ 1 ( Waste ) ~ 2 Different Answers ~ Perfect Tutorial With References (Scored 100%)BUS 365 Week 3 Assignment ( Creativity Around the World ) ~ ( Latest Syllabus – Updated Jan, 2015 – Perfect Tutorial – Scored 100% )MKT 571 Week 5 Team Assignment – Communication PlanLabor relationpublic administrationFIN 571 Week 3 Interpreting Financial ResultsThe following three independent sets of financial statements have several amounts missing. Complete eachManagerial Communication

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