Possible Nursing Diagnosis|Quick homework help

Posted: January 28th, 2023

Create a concept map for this case study using this template.

NUR2571_Module 04_Concept Map

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Include diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

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Student’s Name Concept Map Date

 

Nursing Interventions

 

Possible Nursing Diagnosis

 

 

 

 

 

Clinical Manifestations

Subjective:

 

Objective:

Medical Diagnosis

Patient Data/Risk Factors

Possible Medications

Patient Education

Diagnostic Data

Pathophysiology

Medical Interventions

 

[Type text]

SOLUTION

Some possible nursing diagnoses for a patient may include:

  1. Acute pain related to surgery or injury
  2. Impaired physical mobility related to chronic disease or disability
  3. Risk for infection related to weakened immune system
  4. Ineffective breathing pattern related to respiratory infection or chronic lung disease
  5. Fatigue related to chronic illness or treatment side effects
  6. Imbalanced nutrition: less than body requirements related to lack of appetite or difficulty swallowing
  7. Anxiety related to uncertainty of diagnosis or treatment
  8. Ineffective coping related to stress of illness or life changes
  9. Disturbed sleep pattern related to pain or medication side effects
  10. Deficient knowledge related to disease process or self-care management.

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