MN560 Unit 3 Assignment Latest 2018 March Question # 00598313 Subject: Economics Due on: 02/18/2019 Posted On: 02/18/2019 12:22 PM Tutorials: 1 Rating: 4.7/5

MN560
Advanced Practice Nurse Clinical

Unit 3 Assignment

Students will Support your work with evidence based
resources no older than 5 years old.
Submit the diagnosis and treatment plan to be graded.

This Assignment will assess your ability to evaluate
subjective and objective information in order to arrive at an appropriate
diagnosis and treatment plan for the patient.

Hypertension Case Study

C.D is a 55-year-old African American male who presents to his
primary care provider with a 2-day history of a headache and chest pressure.

PMH

Allergic Rhinitis

Depression

Hypothyroidism

Family History

Father died at age 49 from AMI: had HTN

Mother has DM and HTN

Brother died at age 20 from complications of CF

Two younger sisters are A&W

Social History

The patient has been married for 25 years and lives with his
wife and two children. The patient is an air traffic controller at the local
airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks
several beers every evening after work to relax. He does not pay particular
attention to sodium, fat, or carbohydrates in the foods he eats. He admits to
“salting almost everything he eats, sometimes even before tasting it.” He
denies ever having dieted or exercised.

Medications

Zyrtec 10 mg daily

Allergies

Penicillin

ROS

States that his overall health has been fair to good during
the past year.

Weight has increased by approximately 30 pounds in the last
12 months.

States he has been having some occasional chest pressure and
headaches for the past 2 days. Shortness of breath at rest, headaches,
nocturia, nosebleeds, and hemoptysis.

Reports some shortness of breath with activity, especially
when climbing stairs and that breathing difficulties are getting worse.

Denies any nausea, vomiting, diarrhea, or blood in stool.

Self treats for occasional right knee pain with OTC
Ibuprofen.

Denies any genitourinary symptoms.

Vital Signs

B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.

HEENT

TMs intact and clear throughout

No nasal drainage

No exudates or erythema in oropharynx

PERRLA

Funduscopy reveals mild arteriolar narrowing without
nicking, hemorrhages, exudates, or papilledema

Neck

Supple without masses or bruits

Thyroid normal

No lymphadenopathy

Lungs

Mild basilar crackles bilaterally

No wheezes

Heart

RRR

No murmurs or rubs

Abdomen

Soft and non-distended

No masses, bruits, or organomegaly

Normal bowel sounds

Ext

Moves all extremities well

Neuro

No sensory or motor abnormalities

CN’s II-XII intack

DTR’s = 2+

Muscle tone=5/5 throughout

What you should do:

Develop an evidence-based management plan.

Include any pertinent diagnostics.

Describe the patient education plan.

Include cultural and lifespan considerations.

Provide information on health promotion or health care
maintenance needs.

Describe the follow-up and referral for this patient.

Prepare a 3–5-page paper (not including the title page or
reference page).

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above);

consult the Grading Rubric to make sure you have included
everything necessary; and

utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

follow the conventions of Standard English (correct grammar,
punctuation, etc.);

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

use APA 6th Edition.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, select the
unit Dropbox then attach your file. Make sure to save a copy of the Assignment
you submit.