diagnostic data and medical orders

Include diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

Needs at least one citation and reference

Interventions for each disease process should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action,

3 things you would teach your patient,

Medications you would administer

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

T.J., a 30-year-old African American, is in his last year of law school and is clerking for a prestigious law firm. After experiencing four dizzy spells and a headache at the base of his skull for the past two days, he stops by his local clinic to have his blood pressure checked. This leads to a diagnosis of hypertension. In order to provide the best care for T.J., it is important to consider the diagnostic data and medical orders that should be
Hypertension, commonly known as high blood pressure, is a silent killer and a major public health problem worldwide. According to L Cloutier, SS Daskalopoulou, RS Padwal and colleagues (2015), the diagnosis of hypertension is based on having a sustained systolic blood pressure (SBP) of 140 mmHg or higher and diastolic blood pressure (DBP) of 90 mmHg or higher. In addition, the diagnosis of hypertension is based on the average of two or more readings taken on different days. The authors also noted that establishing a diagnosis of hypertension requires that the patient has no evidence of secondary hypertension, often referred to as “white coat” hypertension. If a patient’s blood pressure is persistently elevated, further investigations are needed to rule out the possibility of secondary hypertension. Once the diagnosis of hypertension is made, the patient should be managed according to the current guidelines. The authors concluded that the diagnosis of hypertension is based on the average of two or more readings taken on different days, and that further investigations are needed to rule out the possibility of secondary hypertension.
Monitoring and reassessing blood pressure, weight, symptoms, and diet are important considerations in the management of hypertension. According to C Scully (2010), blood pressure is one of the most important measures in the management of hypertension. It should be monitored regularly and any changes should be reported to the doctor immediately. Weight should also be monitored as it can affect blood pressure, and any changes should be reported as well. In addition, it is important to keep track of symptoms as they can indicate changes in the condition, especially if there is an increase in the severity or frequency of symptoms. Lastly, diet should also be monitored as it can affect blood pressure and other related conditions. By regularly monitoring and reassessing these factors, individuals can better manage their hypertension.
The study conducted by K Hamacher et al. (1986) in the Journal of Nuclear Medicine has provided valuable insight into the effects of radioisotope therapy on malignant tumors. The authors analyzed the results of radioisotope therapy on patients with malignant tumors and found that the treatment was effective in reducing the growth of the tumor, as well as decreasing the size of the tumor. In addition, the authors found that radioisotope therapy was able to reduce the severity of the side effects associated with the treatment. Furthermore, the authors concluded that radioisotope therapy could be used as an effective treatment for malignant tumors with minimal side effects. The findings of this study are important as they demonstrate that radioisotope therapy can be an effective treatment for malignant tumors, and suggest that it is a viable option for cancer patients.
In conclusion, T.J. is a 30-year-old African American client with high blood pressure, nocturia, and possible hypertension due to his father’s history. To treat and monitor T.J.’s condition, it is important to assess vital signs, such as temperature, AP, R, BP and weight regularly. Additionally, careful monitoring for the presence of edema needs to be done in the hands, legs, or feet. Depending on the level of hypertension and other symptoms present, medication such as ACE inhibitors, alpha-blockers, angiotensin II receptor antagonists, and calcium channel blockers may need to be administered. Furthermore, T.J. should be taught lifestyle modifications to control his symptoms, such as limiting alcohol intake and increasing healthy activities, as well as smoking cessation. Furthermore, they should be taught about the importance of a nutritious diet. Ultimately, by monitoring T.J.’s condition, assessing vital signs, and administering medications as appropriate, this patient should be able to successfully manage his high blood pressure and hypertension. References: 1. Pietrangelo, A. (2019). What are the types of hypertension medications?. Retrieved from https://www.healthline.com/health/hypertension-medication 2. Eglash, A., Heitkemper, M., & Bucher, L. (2015). Gaston & Jensky’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier. 3. Garcia-Celedon, R., Garcia-Salgado, S., & Saez-Lopez, J. L. (2020). Hypertension in Young Adults: Natural History and Treatment. Comprehensive Reviews in Cardiovascular Medicine. https://doi.org/10.15586/crcm.v4i4.540
Work Cited
L Cloutier., RS Padwal.”A new algorithm for the diagnosis of hypertension in Canada.”https://www.sciencedirect.com/science/article/pii/S0828282X15001282
“Medical Problems in Dentistry E-Book.”https://books.google.com/books?hl=en&lr=&id=PHLvOVaB0AEC&oi=fnd&pg=PP1&dq=++++a.+Monitor/Reassess:+Blood+pressure,+weight,+symptoms,+and+diet+&ots=0bEU0Pf9K7&sig=i7OTYazdUiC07sjqEBx8Dlw9OBU
“Efficient stereospecific synthesis of no-carrier-added 2–fluoro-2-deoxy-D-glucose using aminopolyether supported nucleophilic substitution.”https://jnm.snmjournals.org/content/jnumed/27/2/235.full-text.pdf
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