Case Study Smith Question & Answer Guide (With Explanation)
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Original Question
Case Study: Mrs. Smith is a 64-year-old female who was admitted to the hospital with a complaint of severe headache and dizziness. She has a past medical history of hypertension for the past 5 years, and she has been on antihypertensive medications. She has a family history of hypertension and heart disease, with her mother and brother both diagnosed with hypertension. Mrs. Smith is currently working as a school teacher and lives with her husband. She has a sedentary lifestyle and reports occasional non-adherence to her medications due to forgetfulness. Nurses Notes: Upon admission, Mrs. Smith’s vital signs are as follows: BP 180/100 mmHg, HR 88/min RR 18 breaths/min and T 37. She is alert and oriented but complains of a throbbing headache and light-headedness. Her skin is warm and dry, and there is no visible edema. Her lungs are clear on auscultation, and her heart sounds are normal with no murmurs. Her abdominal assessment reveals no tenderness or masses. Mrs. Smith’s laboratory results show an elevated fasting blood glucose level. She has a body mass index of 30. 1. What are the risk factors for hypertension in this case study? 2. What are some of the signs and symptoms of hypertension in the patient? 3. What other assessments should the nurse prioritize for Mrs. Smith? 4. What nursing interventions would be appropriate for Mrs. Smith’s hypertension management? 5. What patient education should the nurse provide to Mrs. Smith regarding hypertension management?
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