NUR 102 Hypertension Case Study- McKenzie Goodman

NUR 102 Hypertension Case Study- McKenzie GoodmanAssessment: George’s blood pressure is 189/110. His LDL Cholesterol is 200 mg/dL. He asks the student nurse if his blood pressure is something he should be concerned about 1. How should the student respond? A. Your blood pressure is very high. You need to see your healthcare provider today. B. You have hypertension. You need to start making some lifestyle changes. C. Please sit quietly for a few minutes. I need to recheck your blood pressure. D. I need you to remain seated. I am going to call for the emergency squad. *I chose C because you always want to recheck the BP if it’s running high, and it could’ve also been elevated to George being stressed or some recent physical activity. The student nurse asks George about his health history. George is 6 feet tall (182.88cm) and his weight is 190 pounds (86.18 kgs). George states that he has lost a lot of weight recently. He also reports feeling a lot of stress at work and that he often goes out with the crew after work to have several beers. He reports that his mother who had Diabetes Mellitus passed away recently which has also contributed to his emotional health. He believes his mom also had hypertension. George smokes a pack of cigarettes a day and drinks 4 to 5 cups of coffee a day too. 2. What significant risk factors for hypertension does the nursing student identify for George according to his reported health history? SELECT ALL THAT APPLY A. Family history of Diabetes B. Alcohol Consumption C. Smoking D. Stress E. Caffeine consumption *I chose alcohol consumption, smoking, and stress because these are all risk factors for hypertension. A family history of diabetes isn’t important in this scenario, and caffeine is not a risk factor for hypertension. The student retakes George’s blood pressure now that George has been sitting quietly for a few minutes. His blood pressure is 180/106 mmHg. 3. According to the assessment of this client, which recommendation is most important for the student nurse to provide George?