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CASE #2

A 62-year-old African American woman with prediabetes presents for her annual physical. She has no complaints. The average of 2 BP readings in her right arm is BP 143/88. Her physical exam is unremarkable except for obesity. She has no history of myocardial infarction, stroke, kidney disease, or heart failure. After the visit, she measures her BP at home and returns 1 month later. The average BP from multiple clinic and home readings is 138/86.

Her total cholesterol is 260 mg/dL, HDL 42 mg/dL, and LDL 165 mg/dL. She does not smoke.

1.      Based on the information provided, what is your first impression? Do you feel this patient is at risk for hypertension? Why or why not? If so, can you classify what stage of HTN the patient is in?

2.      Describe at least 2 nursing diagnoses, assessments and interventions for each case study to assist the patient.

3.      Provide an ongoing plan for each patient based on your nursing dx, assessment and intervention for 1 month, 3 months and 6 months. 

SCIENCE
HEALTH SCIENCE
NURSING

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