Reference no: EM133950913

Question

Mr. Logan, a 71-year-old male, arrives in the ED with a headache and lightheadedness. He states, "I just don't feel right." The nurse notes Mr. Logan's blood pressure is 204/162 mm Hg in the right arm and 202/160 mm Hg in the left arm. His cheeks are flushed and he has ankle edema.

What other assessments should the nurse perform?

Mr. Logan is diagnosed with hypertension. He is treated with medications and discharged from the ED with instructions to follow-up with his primary health care provider. When Mr. Logan meets with the nurse at his follow-up appointment, the nurse and Mr. Logan discuss his daily routine, as follows:

He gets 6 to 7 hours of sleep every night, drinks 4 cups of coffee each day, smokes 1 pack daily, and has a glass of wine before dinner every night. He works 8 to 10 hours per day on weekdays, but infrequently works on the weekends. He and his wife walk at a leisurely pace in the evenings when the weather is good. He enjoys reading before he goes to bed. He eats oatmeal for breakfast, fast food for lunch, and a "wholesome" dinner that his wife makes every night.

What lifestyle changes would help Mr. Logan in managing his blood pressure? Explain your answer.

What members of the interprofessional team could be consulted to assist Mr. Logan? Discuss how EACH discipline will assist the patient.

Mr. Logan returns to his provider's office for a follow-up assessment 3 months later. He states that he has been taking his blood pressure every day and that most days it is within the normal range. He also states he doesn't take his blood pressure medication every day. Mr. Logan asks the nurse, "What will happen if I don't take the medication?"

How should the nurse respond to Mr. Logan?