A forty-nine year old, 6'2" airline pilot is due for his annual physical. He is a health conscious individual. He is slightly overweight as he finds losing the weight to be difficult. He makes an honest effort to exercise four times a week. His endurance is unchanged. He monitors his own blood pressure at home. Peculiarly enough, he also measures his own blood glucose every so often, though he is not diabetic and has no known family history of it. He notices by self-assessment that his blood pressure is elevated. He gets a reading of about 155/100. He repeats measurements on several days consecutively and finds the trend to be accurate. His doctor confirms his elevated blood pressure. At his appointment, the patient states he is going to the bathroom during the night, sometimes several times. He likes a glass of wine with dinner when off from flying and admits to loving his steak and potatoes. Occasionally, he opts for a glass of whiskey. Blood tests are normal with the exception of a slightly elevated BUN.
Cite at least five (5) questions you might ask as a nurse assessing this patient and state why each question is important to consider.
What kinds of diagnostics would you expect to run? Explain why your group has chosen these specific test profiles. What are you looking for?
Provide at least three (3) potential diagnoses. Which is the most likely for this patient? Why?
Discuss the management of this condition. What is important in the plan of care?
A forty-nine year old, 6'2" airline pilot is due for his annual physical. He is a health conscious individual. He is slightly overweight as he finds losing the weight to be difficult. He makes an honest effort to exercise four times a week. His endurance is unchanged. He monitors his own blood pressure at home. Peculiarly enough, he also measures his own blood glucose every so often, though he is not diabetic and has no known family history of it. He notices by self-assessment that his blood pressure is elevated. He gets a reading of about 155/100. He repeats measurements on several days consecutively and finds the trend to be accurate. His doctor confirms his elevated blood pressure. At his appointment, the patient states he is going to the bathroom during the night, sometimes several times. He likes a glass of wine with dinner when off from flying and admits to loving his steak and potatoes. Occasionally, he opts for a glass of whiskey. Blood tests are normal with the exception of a slightly elevated BUN.
Cite at least five (5) questions you might ask as a nurse assessing this patient and state why each question is important to consider.
What kinds of diagnostics would you expect to run? Explain why your group has chosen these specific test profiles. What are you looking for?
Provide at least three (3) potential diagnoses. Which is the most likely for this patient? Why?
Discuss the management of this condition. What is important in the plan of care?
A forty-nine year old, 6'2" airline pilot is due for his annual physical. He is a health conscious individual. He is slightly overweight as he finds losing the weight to be difficult. He makes an honest effort to exercise four times a week. His endurance is unchanged. He monitors his own blood pressure at home. Peculiarly enough, he also measures his own blood glucose every so often, though he is not diabetic and has no known family history of it. He notices by self-assessment that his blood pressure is elevated. He gets a reading of about 155/100. He repeats measurements on several days consecutively and finds the trend to be accurate. His doctor confirms his elevated blood pressure. At his appointment, the patient states he is going to the bathroom during the night, sometimes several times. He likes a glass of wine with dinner when off from flying and admits to loving his steak and potatoes. Occasionally, he opts for a glass of whiskey. Blood tests are normal with the exception of a slightly elevated BUN.
Cite at least five (5) questions you might ask as a nurse assessing this patient and state why each question is important to consider.
What kinds of diagnostics would you expect to run? Explain why your group has chosen these specific test profiles. What are you looking for?
Provide at least three (3) potential diagnoses. Which is the most likely for this patient? Why?
Discuss the management of this condition. What is important in the plan of care?
Solution:
Cite at least five (5) questions you might ask as a nurse assessing this patient and state why each question is important to consider.
| Question | Rationale |
| Ask him about his lifestyle practices. | It helps to know the cause of obesity |
| Ask him about the urinary and bowel pattern. | To assess the normal pattern and cause for frequent urination during the night. |
| Ask him about the dietary pattern and intake. | Increased salt intake can lead to hypertension and high protein diet can lead to elevated BUN level. |
| Ask him about the color, odor, and consistency of the urine. | It gives clues to identify the cause. |
| Ask him about his past and present medication. | To analyse the effects and side effects of medication. |
What kinds of diagnostics would you expect to run? Explain why your group has chosen these specific test profiles. What are you looking for?
Provide at least three (3) potential diagnoses. Which is the most likely for this patient? Why?
Among these, imbalanced nutrition is ideal for this patient, because obesity is the major condition which leads to the way for all other problems such as hypertension, waste products in the blood, the frequency of urination etc.
Discuss the management of this condition. What is important in the plan of care?
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