NURSING NR 446 HTN STUDENT Unfolding Clinical Reasoning Case Study

NURSING NR 446 HTN STUDENT Unfolding Clinical Reasoning Case Study Unfolding Clinical Reasoning Case Study: STUDENT I. Data Collection History of Present Problem: Mike Kelly is a 51-year-old Caucasian male. He is 6 feet tall and weighs 275 pounds (BMI 37.3) with an abnormal distribution of weight around his abdomen. He does not regularly exercise, does not like to cook, and eats fast food 3–5x during the week. He has smoked 1 pack per day since the age of 20 (31 pack years). He has no current diagnosed medical problems. He became concerned and came to the urgent care facility today because he is more easily fatigued and has a headache for the past 3 days that has not improved. He didn’t go to work today and that is not typical for Mike. Personal/Social History: Mike is self-employed and owns his own auto mechanic business. He currently has no health insurance. His father had hypertension and died of a myocardial infarction (MI) at the age of 50. Angelina, his wife, came with him to urgent care and shares that he is usually stoic with health problems so this must really bother him or he is afraid. He took Excedrin and Motrin for pain and it didn’t help. She gave him a dose of Castor oil since she is from Puerto Rico and that is the first thing they do for any illness in her country of origin.