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(Solved): Brian Estes is a 52-year-old Caucasian male with a past medical history of hypertension and hyperlip ...



Brian Estes is a 52-year-old Caucasian male with a past medical history of hypertension and hyperlipidemia. He is at the clinic today for a yearly physical examination at the urging of his wife. He is a mid-level manager at an electronics company and has been under considerable work stress in the past six months. He admits to being a “couch potato”. He was prescribed amlodipine (Norvasc) at his last physician appointment 15 months ago. He admits to taking his medication on “most days”. His total cholesterol is 224 mg/dL; HDL 45 mg/dL; LDL 179 mg/dL; and triglycerides 200 mg/dL. He is 5’ 10” and weighs 201 pounds with a BMI of 28.8, He has a positive family history of CAD. His father had a myocardial infarction at age 54, and his grandfather died of a myocardial infarction at age 42. His current vital signs are temperature 97.6 orally; pulse 86 and regular; blood pressure 178/96 mmHg; and respirations 14/min. In your initial post, please address the following questions: 1. What are the three questions the nurse should ask to determine how the client feels about his current health status? 2. What are two possible nursing diagnoses for this client? 3. Develop a health teaching plan for Mr. Estes; include four nursing interventions to address his modifiable risk factors for CAD. PE DIAT R IC ADULT GE R IAT R IC Gladys Jones is a 75 year old woman who was admitted to the telemetry unit from the emergency department with a diagnosis of new onset atrial fibrillation with rapid ventricular response. Her past medical history includes Type 2 DM and hypertension. She has a 40 pack-a-



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