1. PN4A
Create a concept map for this case study using this template.NUR2571_Module 04_Concept
MapInclude 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.
