NR 509 Week 5 iHuman Virtual Patient Encounter - Harvey Hoya
Document Preview
Unlock Full 13 Page Document Instantly.
Document Overview
Physical Examination Documentation General: Integumentary/Breast: Nails without clubbing, ridging, peeling, or pitting. HEENT/Neck: Head: normocephalic, atraumatic, no deformities, facial features symmetric with equal eye closure and smile, temporal arteries are non-tender to palpation. Maxillary and frontal sinuses non-tender on bilaterally. Hair thickness and pattern distribution typical for age and gender. Eyes: PERRLA, conjunctiva pink and no discharge. No sclera icterus. No edema, redness, tenderness, or lesions noted. Visual acuity 20/20 right eye, and 20/20 left eye. Prominent arteriovenous nicking bilateral fundi, some narrowing of vessels. Sharp disc margins without flame or dot hemorrhages, or soft or hard exudates. Neurologic: Light touch and pain grossly intact. Psychiatric: Lymphatic: Cervical nodes mobile, non-tender, pea-sized, and soft bilaterally. Thyroid without mobile masses, tenderness, nodules, or enlargement. pill combinations as much as possible to promote medication adherence (Unger et al., 20200. Suggested consults/referrals: - Dietician for education and plan for dietary modifications Lifestyle modifications should be included as first-line therapy in a treatment plan for a patient with essential hypertension as healthy lifestyle choices can delay or prevent related cardiovascular complications (Unger et al., 2020). Client Education: - The client should be instructed to self-monitor their blood pressure before taking any medication at home to prevent excessive hypotension - The client should be educated on smoking cessation as it can be a major risk factor for hypertension - The client should be encouraged to increase exercise as regular exercise can prevent the onset of hypertension - The client should avoid foods containing excess salt and follow a low- sodium, heart-healthy diet - Caffeine and alcohol intake should be limited or avoided altogether as they can contribute to hypertension - Encourage the client to follow up with their primary care provider when recommended and annually for age-appropriate screenings, immunizations, and general care as well as follow-up on hypertensive status All lifestyle modifications above are recommendations included in the clinical practice guidelines for the prevention and concurrent treatment of hypertension as they can prevent or (Unger et al., 2020). The client should also be educated on how to self-monitor their own blood pressure to prevent hypotension and also for comparison of office blood pressure readings (Unger et al., 2020). Follow-up: Follow up in one month with the clinician’s office for evaluation of hypertension and consider the titration of current medications or additional prescription(s) (Unger et. al., 2020). The patient should seek immediate health care either in the office or emergency department if experiencing chest pain, dizziness, heart palpitations, or intense headaches that may be signs of hypertensive-related complications (Unger et al., 2020). References Puckey, M. (2024a). HCTZ. Drugs.com. https://www.drugs.com/hctz.html
Full content available after purchase or with an active subscription.
Related Products
Related Products
NR 509 Week 1 Discussion; Social Determinants of Health; Economic Stability and Healthcare Outcomes
NR 509 Week 1 Discussion; Social Determinants of Health; Education Access and Quality
NR 509 Week 1 Discussion; Social Determinants of Health; Neighborhood and Built Environment
NR 509 Week 1 Quiz - All Correct
NR 509 Week 1 Quiz - Correct Answers
NR 509 Week 1 Quiz - Correct Solutions
NR 509 Week 2 i-Human Case Preparation Guide
NR 509 Week 2 i-Human Reflection and Self-Assessment within the iHuman case
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3392878 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3468208 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3545005 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3547905 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3659478 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3664929 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3670006 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3672367 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3788274 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3788297 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3790357 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3914862 - Marvin Webster
NR 509 Week 2 iHuman Reflection Worksheet
NR 509 Week 2 Quiz - 100% Correct
NR 509 Week 2 Quiz - All Correct Answers
NR 509 Week 3 i-Human Assignment Preparation and Guide
NR 509 Week 3 i-Human Assignment Reflection on Uninsured Patient Care
NR 509 Week 3 i-Human Virtual Patient Encounter - Amanda Wheaton; 23 years old
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3411598 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3413195 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3481164 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3487378 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3619635 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3621880 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3666007 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3672023 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3673305 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3673701 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3795251 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3798873 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3976528 - Jenna James
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3548756 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3548792 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3554099 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3924532 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3924734 - Rebecca Fields
NR 509 Week 3 Quiz - All Correct
NR 509 Week 3 Quiz - All Correct.
NR 509 Week 4 Discussion; Challenging Behaviors - References
NR 509 Week 4 Discussion; Client Challenges - A Talkative Client
NR 509 Week 4 Discussion; Client Challenges - Adolescent client
NR 509 Week 4 Discussion; Client Challenges - Adolescent client reluctant to answer
NR 509 Week 4 Discussion; Client Challenges - Argumentative Encounter
NR 509 Week 4 Discussion; Client Challenges - Challenging Behaviors
NR 509 Week 4 Discussion; Client Challenges - Client displays racist or discriminatory behavior
NR 509 Week 4 Discussion; Client Challenges - Patient's Behavior Exhibits Sexism
NR 509 Week 4 Midterm - Comprehensive Test Bank with 1200+ Q&A
NR 509 Week 4 Midterm Bates Questions
NR 509 Week 4 Midterm Exam
NR 509 Week 4 Midterm Exam Practice Questions
NR 509 Week 4 Midterm Exam Practice Questions - Filled Out
NR 509 Week 4 Midterm Exam Practice Questions - Filled Out..
NR 509 Week 4 Midterm Exam.
NR 509 Week 4 Midterm Study Guide
NR 509 Week 5 iHuman Case Reflection
NR 509 Week 5 iHuman Comprehensive Encounter Preparation Guide
NR 509 Week 5 iHuman Virtual Patient - Anselmo Lopez - Attempt 3691185
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3097085 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3432854 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3432854 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3434313 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3500732 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3552188 - Harvey Hoya
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3564147 - Harvey Hoya.
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3628069 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3690949 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3691025 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3692802 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3811393 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3816706 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3938119 - Harvey Hoya
NR 509 Week 5 Quiz - 100% Correct
NR 509 Week 5 Quiz - Correct Answers
NR 509 Week 5 Quiz - Correct Answers
NR 509 Week 5 Quiz - Correct Solutions
NR 509 Week 6 iHuman Virtual Patient - Bebe_Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3028447 - Jessica Walbertz
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3105487 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3235825 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3437569 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3507966 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3509274 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3515748 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3638143 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3697194 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3699537 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3700373 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3700373 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3702431 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3820443 - Kathleen Parks
NR 509 Week 6 Quiz - All Correct Answers
NR 509 Week 6 Quiz - All Correct Answers.
NR 509 Week 6 Quiz - All Correct Answers..
NR 509 Week 7 Assignment; Immersion Skills Lab
NR 509 Week 7 Assignment; Physical Assessment (Head-to-Toe) Video Outline
NR 509 Week 7 Assignment; Physical Assessment Video Exam
NR 509 Week 7 Assignment; Physical Examination Video Evaluation
NR 509 Week 7 Quiz
NR 509 Week 7 Quiz.
NR 509 Week 7 Quiz..
NR 509 Week 8 Assignment; ePortfolio.
NR 509 Week 8 Assignment; Reflection on Learning
NR 509 Week 8 Assignment; Reflection on Learning.
NR 509 Week 8 Assignment; Reflection on Learning.
NR 509 Week 8 Final Exam
NR 509 Week 8 Final Exam - Musculoskeletal Disorders MCQs and Explanations
NR 509 Week 8 Final Exam Study Questions Answers
Academic Use Notice: This resource is provided strictly as study support material to help students review concepts, understand topic structure, and prepare their own original academic work responsibly. It is not intended to be submitted directly as a student's own work.