Case Study of Hypertension

Case study of hypertension 1
CASE STUDY OF HYPERTENSION
Student’s Name
Institutional Affiliation

Case study of hypertension 2
There are a number of questions that a nurse would ask the patient in the case study. The
purpose of the questions is to seek clarity so as to come up with an accurate diagnosis care plan.
One of the questions a nurse would ask is whether there is any family history of obesity. The
relevance of this question is to understand the increased weight gain by the patient and link it to
the risk of becoming obese. This allows the nurse to incorporate ways to manage the weight gain
in the care plan. Another useful question would be asking the patient whether there are any signs
of pain and radiation of the same. This information is important in incorporating pain
management in the care plan.
The third question useful is whether the patient experiences any joint stiffness and pain.
As stated by Ma & Guan (2018), elevated levels of blood urea nitrogen could signify gout. This
can be the case since the patient takes steak frequently. Another question would be whether the
patient experiences any dysuria. This will help understand whether there are any urinary tract
infections and administer antibiotics. Another question would be to ask the patient of any signs
of shortness of breath. This would help rule out myocardial infarction or heart failure linked to
hypertension.
There are several diagnostic tests that I would run on the patient. The first one would be
to use a urine dipstick to look for any hematuria and proteinuria. Another diagnostic test would
be performing an electrocardiogram so as to rule out heart failure linked to hypertension. There
are a number of potential diagnoses for the patient in the case study. The first one and the most
likely is that the patient could be suffering from polycystic kidney disease that could progress to
chronic kidney disease. This is because of the elevated blood urea nitrogen. Another potential
diagnosis would be heart failure as a result of hypertension.