practical nursing

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