HTN Case Study Clinical latest 2023

History of Present Problem: Mike Kelly is a 51-year-old Caucasian male who 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 three to five times during the week. He has smoked one pack per day since the age of 20 (31 pack years). He has a history of hyperlipidemia, but is unable to afford his medication (atorvastatin), and has not taken since he was diagnosed 5 years ago. He has no current diagnosed medical problems. He became concerned and came to the emergency department because he is more easily fatigued and has had a headache the past three days that has not improved. Personal/Social History: Mike is self-employed and owns his own auto mechanic business. He 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. She shares that he is usually stoic about health problems, so this must really bother him or he is afraid. He took Excedrin and Motrin for pain and it didn’t help. What data from the histories are RELEVANT and have clinical significance for the nurse? RELEVANT Data from Present Problem: Clinical Significance: • Hyperlipidemia • Does not exercise • Obesity • Abnormal weight around abdomen. • Easily fatigued, with a headache for 3 days. • Smokes a pack a day for about 31 years • He eats fast food 3 – 5 times a week. • Abnormal amount of weight around his abdominal section may be due to hyperlipidemia, not exercising &eating fast food 3-5 times per week.. • Body Mass Index, (BMI) of 37.3% • Not exercising, can hyperlipidemia • Smoking may worsen hyperlipidemia. • RELEVANT Data from Social History: Cli