Preview

Blood Pressure and Mr. Lamont

Good Essays
Open Document
Open Document
518 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Blood Pressure and Mr. Lamont
Writing Assignment: HESI RN Case Study: Breathing Patterns (Graded)
Please complete the following case study. Present the rationale(s) for your response(s). * * Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that he will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health, and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure 156/94 mm Hg, temperature 99.8 °F orally, apical pulse 104 beats/min, respirations 25 breaths/min and regular, and pulse oximetry 95%.

The primary care physician examines Mr. Lamont and tells him he should quit smoking. He gives him an antihypertensive medication to help lower his blood pressure. Mr. Lamont asks Laura if she can teach his wife how to take his blood pressure. Laura agrees and brings Mrs. Lamont in to explain the process. Laura decides that she will use demonstration to teach Mrs. Lamont the procedure, but she also wants to explain some important concepts. What should she include? Select all that apply. All of the above
A. Choose a cuff that is the right size.If a cuff that is not the right size is used the reading will be false, examples are if the cuff is too wide the reading will be false and low, if the cuff is too narrow or short the reading will be false and high(Potter,2013;p462).
B. Ensure that the patient is sitting or lying. The arm needs to be at heart level to insure accurate reading if the

You May Also Find These Documents Helpful

  • Good Essays

    Mr. S's Bma Case Study

    • 915 Words
    • 4 Pages

    Mr. S is 48-year-old male, who is a sales representative for a large electronics firm who travels quite a lot. He has been defined as a Type A personality. He is 6', 190 lbs. with a blood pressure of 142/88 mmHg. Five years ago he has was diagnosed with Type 2 diabetes. He blames his 2 and half pack a day smoking habit on the stress of his job. Family history reveals his brother had a Myocardial Infarction at the age of 40. His cholesterol level is 250 mg/dl, HDL is 30 mg/dl, LDL is 170mg/dl and TG is 250mg/dl. Mr. S complains of chest pain upon exertion. Case Study # 1…

    • 915 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Patient should be made as comfortable as possible. Pain levels should be assessed. Pressure points should be assessed.…

    • 1243 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    COPD Case Study: Emphysema

    • 1719 Words
    • 7 Pages

    D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. D.Z. seems irritable and anxious; he complains of sleeping poorly and states that lately feels tired most of the time. His vital signs (VS) are 162/84, 124, 36, 102 F, SaO2 88%. His admitting diagnosis is an acute exacerbation of chronic emphysema.…

    • 1719 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    Case Study

    • 451 Words
    • 2 Pages

    One concern is the patient’s lack of knowledge about his health problems. Another concern is whether he can continue to live the way he has without assistance. Henry will not be able to care for his wife the way he needs to with his own health issues. Also his wife can no longer provide for Henry’s needs she used to fulfill, such as cooking for him. Henry’s comment about how he hopes his insurance will pay for his oxygen and inhalers raises concern for me. These health disparities may keep Henry from receiving proper care due to him not being able to afford proper health care. Also he still continues to smoke even with his illness. His breathing problems concern me too.…

    • 451 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Base of the situation presented in the case, upon seeing the patient in the emergency department, as a nurse you will first assess the patient. Apply the ABC’s in assessing patient because this…

    • 2470 Words
    • 10 Pages
    Good Essays
  • Satisfactory Essays

    Medical Transcription

    • 659 Words
    • 3 Pages

    PHYSICAL EXAMINATION: VITAL SIGNS: Show temperature 97 degrees, pulse 53, respirations 22, and blood pressure 108/60. GENERAL: Physical exam reveals a well-developed, well nourished, 35-year-old white female in a moderate…

    • 659 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Henry Williams is a 74-year-old African American who was admitted for shortness of breath secondary to chronic obstructive pulmonary disease exacerbation. His past medical history is chronic obstructive pulmonary disease (COPD), cardiovascular disease, hyperlipidemia, asthma, hear loss, and hypertension. His neighbor brought him to the emergency room because he was having difficulty breathing and weakness. When he was brought to the emergency room, he was very weak and restlessness. Williams breathing was visibly labored and he was very anxious and worried for his wife Ertha, who has memory problem and forgetful at times. For over two months now, Williams’s appetite has diminished which made him lost some weight. He also lost interest in…

    • 979 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Jane Doe Nursing Ethics

    • 375 Words
    • 2 Pages

    The other day a senior nurse, we will refer to Nurse X, on out unit was assigned to care for a young patient in her 40’s, she is trached and on a ventilator with multiple surgical problems and complications. This patient has been on our unit since late September of this year. At 0300 and we see this patient, which we will name Jane Doe, respiratory rate in the 60’s, systolic blood pressure in the 200’s and in a full state…

    • 375 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Careplan

    • 271 Words
    • 2 Pages

    Observation of vital signs (temperature, pulse, blood pressure, RR and response of patients).Rational: Improved tachcardi RR and an indication of decline in lung function.…

    • 271 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Steven was a 55 year old African American male that came into the hospital with complaints of a severe headache. Patients had no prior history of hypertension but blood pressure was taken with the result of 180/101. Patient states that he has a family history of cardiovascular diseases. Mother and Father suffered from hypertension as a result of obesity. Steven has worked for the United States Postal Service for 30 years and is under a lot of stress due to work. He is a chronic smoker and drink on occasions.…

    • 1348 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Assignment: For each scenario below, outline the appropriate patient teaching you would perform. First, review the “Guidelines for Patient-Teaching Exercises” found on page iv in the “Introduction”.…

    • 624 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    plethysmography

    • 969 Words
    • 4 Pages

    check blood. The test may be done to check for blood clots in the arms and legs, or to measure how…

    • 969 Words
    • 4 Pages
    Satisfactory Essays
  • Better Essays

    Life Limiting Illness

    • 788 Words
    • 4 Pages

    As Sam was recovering from chronic lung disease, his respiratory well-being was the main priority. During the weaning process the community nurses conduct regular respiratory reviews to ensure Sam is coping with the lessening amount of oxygen. This assessment can begin as soon as the nurse enters the home. We were able to assess Sam’s work of breathing by looking at him and listening to him. He was not exhibiting any signs of respiratory distress such as nasal flaring, recession, grunting or wheezing, all of which would tell us he was making excessive respiratory effort (Huband and Trigg, 2000).…

    • 788 Words
    • 4 Pages
    Better Essays
  • Good Essays

    blood pressure

    • 943 Words
    • 4 Pages

    I gathered all the right equipment required for measuring blood pressure. I ensured the diaphragm of the stethoscope was turned on. I choose an appropriate sized blood pressure cuff for my patient as most measurement errors occur by not taking the time to choose the proper cuff size. I requested them to take a seat comfortably and made sure the patient is relaxed by allowing few minutes to relax before the first reading. I also asked a patient to remove excess clothing that might interfere with the blood…

    • 943 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Theories of communication

    • 377 Words
    • 2 Pages

    4) PROBLEM: Patient has picked up on everything that has been said meaning he doesn’t understand what the doctor has said.…

    • 377 Words
    • 2 Pages
    Satisfactory Essays