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
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.
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