Q2 The patient is a 41 year-old male who has a longstanding historyof hypertension and diabetes and presents with a

  

Q2 The patient is a 41 year-old male who has a longstanding historyof hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any other medical illnesses.On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. was remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with hypertensive injury. Cardiac exam had an S1, S2 and S4. The remainder of the exam was remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching24-hour urine protein and creatinine – volume 850 ml, protein 600 mg/dl and creatinine 180 mg/dl ,Renal ultrasound- Right kidney 9 x 6.0 cm, Left kidney 9.2 x 5.8 cm ,Both kidneys illustrate hyperechogenicity and no hydronephrosis.    -Problem Identification and prioritization -List down 5 nursing problems that you have identified based on the assessment findings. Classify the statement of all health problems into current Health problems and potential Health Problems Health Science Science Nursing NURSING 317 Share (0)

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