A nurse is caring for a patient who has a history of hypertension. The patient smokes...

A nurse is caring for a patient who has a history of hypertension. The patient smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. The patient complains of calf pain during minimal exercise that decreases with rest. What do the signs/ symptoms and medical history lead the nurse to believe is the pathophysiological problem is? Describe the pathophysiology of that problem. List a nursing diagnosis is appropriate for this client.

Expert Solution

On careful assessment of the signs/ symptoms and medical history leads to believe is the pathophysiological problem is ineffective tissue perfusion

The signs and symptoms with medical history leading to pathophysiological problem such as history of hypertension, smoking, low exercise, calf pain and stress. The smoking habit does lead to changes and alteration in microvasculature of different organs such as kidneys and myocardium. Tobacco smoking does cause release of catecholamines resulting in vasoconstriction. The hypertension as a concomitant condition affects the capillary rarefaction which induces a higher blood pressure in the body and as a result leads to decrease in tissue perfusion with increased risk of cardiovascular complications. The nursing intervention of this condition of ineffective tissue perfusion for cardiovascular would be a suggested treatment of nitroglycerine for angina related complaints to reduce the risk of hypertension related cardiovascular problems and enhancement of myocardial perfusion. The other therapies can be promoting the active ROM exercises, antihypertensives and Peripheral vasodilators, etc

The nursing diagnosis of this cause would be the alteration in tissue perfusion related to compromised circulation in the client leading to ineffective tissue perfusion.

Nightingale answered 2 years ago

A nurse is caring for an 80-year-old patient who was admitted to the hospital with a...

A nurse is caring for an 80-year-old patient who was admitted to the hospital with a diagnosis of dehydration. The patient stated he had been vomiting for 2 days and had been unable to take food or fluids. He has been healthy and currently takes only a diuretic for his blood pressure. On physical examination, the nurse notes that the patient’s skin is dry with decreased turgor, oral mucous membranes are dry, heart rate is 100, and blood pressure is...

1. The nurse is caring for a patient who is dehydrated (fluid volume deficit) as a...

1. The nurse is caring for a patient who is dehydrated (fluid volume deficit) as a result of vomiting. The nurse would anticipate which of the following lab data? Select all that apply. A. Elevated specific gravity B. Hct of 58% C. Increased BNP D. Potassium 3.2 mEq/L E. Urine dark amber 2. The nurse is caring for an elderly patient who is dehydrated as a result of vomiting. The nurse would anticipate which of the following clinical manifestations? Select...

A nurse is caring for a 68-year-old male patient who is reporting SOB. He has a...

A nurse is caring for a 68-year-old male patient who is reporting SOB. He has a history of HTN, DM, emphysema, and was a heavy smoker for 25 years. 21. List at least three assessment findings the nurse should expect to assess in this client while performing INSPECTION. 22. What method of breathing can the nurse suggest the patient use in order to promote carbon dioxide expiration? Explain the process of how to perform this method. When performing a respiratory...

The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain...

The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain the immediate nursing interventions and considerations (explain the rationale).

A gerontological nurse is caring for an 85-year-old female patient who is a victim of elder...

A gerontological nurse is caring for an 85-year-old female patient who is a victim of elder abuse. During the initial history and physical examination, the patient shared that she had recently moved in with her adult alcoholic son, his wife, and their three children. Over the past few months, however, she had been noticing many of her personal items missing, including her wedding ring, a set of crystal figurines, and her bank statements and checkbook. She also shared that her...

You are the nurse caring for a patient who was prescribed IV Solu-Medrol (corticosteroid) for exacerbation...

You are the nurse caring for a patient who was prescribed IV Solu-Medrol (corticosteroid) for exacerbation of COPD. In developing your teaching plan, you recognize that which of the following is a side effect of this medication? Insomnia Hyponatremia Hypoglycemia Hypercalcemia

A nurse is caring for a quadriplegic patient who is unable to perform any self-care activities...

A nurse is caring for a quadriplegic patient who is unable to perform any self-care activities and has a Foley urinary catheter. What risk diagnosis should the nurse document for this patient? How should the nurse prioritize the risks?

the nurse is caring for a patient with acromegaly. The patient asks why she is not...

the nurse is caring for a patient with acromegaly. The patient asks why she is not growing to be a giant since she has increased growth hormone. what is the appropriate response by the nurse?

A nurse is caring for a client who has a traumatic brain injury. The client, who...

A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? a. Blood glucose b. Urinary output c. Motor responses d. Blood pressure

Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who...

Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who is the mother of two small children. She states that she has felt “nervous and tired” for approximately 1 month. Today, she has had a sudden onset of breathlessness with cardiac palpitations. She states, “I have not been feeling well for about a month, but when I felt breathless I thought I should be checked out.” Upon further questioning, the nurse finds that the...

Question