Assessment of Patient 2 Mike K. is a 37-year-old male with no significant past medical history. Family history includes a mother withdiabetes; father with hypertension diagnosed at age 40 years; and paternal grandfather with myocardialinfarction at age 50, stroke at age 62, and heart failure diagnosed at age 51. Mike K. presents to the ER withblurred vision and headache for the past 24 hours. He appears anxious but denies pain other than his headache.SubjectiveBlurred vision for the past 24 hours that gets worse with activity. Frontal lobe headache that "comes and goes"for the past 24 hours. Denies nausea, vomiting. Reports occasional dizziness.ObjectiveVital signs: Temp 98.6° F (37° C). BP 210/112 mm Hg right arm, sitting; 220/120 mm Hg left arm, sitting.Pulse 110 bpm, regular rhythm, force 3+. RR 20/min, unlabored.Respiratory: Breath sounds clear throughout; no adventitious sounds.Cardiovascular: Regular rate and rhythm. S1 and S2 not accentuated or diminished, no extra sounds.Pulses bounding 3+ bilateral. 2+ pitting edema bilateral lower extremities.Abdomen: Rounded abdomen. Bowel sounds active. Abdomen soft, nontender.Neuro: Level of consciousness alert and oriented. Pupils equal; sluggish reaction to light. Optic discswollen. Deep tendon reflexes 2+ and equal bilaterally. Babinski reflex → down going toes.What is your assessment to Mike K.? Why you came up with that assessment?

This client has a history of cardiac diseases and hypertension in the family.

Answered: What is your assessment to Mike K.? Why…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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