Posted: November 11th, 2022

T.J., a 30-year-old African American client

Assignment 12: Concept Map-Hypertension

Develop and Concept Map, using the form provided, on the following patient. 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. Most of his meals are high in fat because he eats at fast food places. T.J. does not smoke. He used to run four mornings a week before he got a job as a clerk. He has been getting up at night to pee for the last three weeks. He doesn’t take any medicines. T.J. worries about having high blood pressure because he doesn’t want to take medicine.

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.

Rubric:

1. Describes in detail the pathophysiology of the disorder

2. Describes at least 3 risk factors AND at least 3 possible medications

3. Describes in detail at least 3 clinical manifestations, subjective AND objective AND diagnostic data

4. Identifies in detail at least 3 Nursing interventions and 1 Medical intervention

5. Identifies in detail at least 3 Education points for client AND has complete Nursing Diagnosis

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