Paper details:
Scenario
A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary
provider. He is a long-distance truck driver and requires a physical examination to maintain his continued
employment.
Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses
and bilateral varicose veins with non-pitting edema in both ankles. He has a 30-year history of smoking two
packs of cigarettes per day.
The following 2 are required information that must be covered in the paper.
1. What additional information is needed from the patient history and physical assessment to determine if
this patient has arterial or venous insufficiency?
2. Compare and contrast evidence based nursing interventions for the patient diagnosed with arterial
insufficiency and the patient diagnosed with venous insufficiency.
REQUIREMENTS OF PAPER
Must contain a minimum of 250 words. References, citations, and repeating the question do not count
towards the 250-word minimum.
APA FORMAT: All references MUST be in Alphabetical order or points are deducted. Anything that is
referenced must be indicated properly. If there is a quoted phrase it must be cited properly according to the
APA format. If there is an outside source used other than what has been indicated here in my references it
must come from a (.org) site only.
SOURCES TO USE:
First Source:
Burchum, J. & Rosenthal, L. (2016). Lehne’s pharmacology for nursing care (9th ed.). St. Louis, MO: Elsevier.
Chapter 41: Diuretics
Chapter 44: Drugs Acting on the Renin-Angiotensin-Aldosterone System
Chapter 45: Calcium Channel Blockers
Chapter 46: Vasodilators
Chapter 47: Drugs for Hypertension (all sections except Drugs for Hypertensive Disorders of Pregnancy)
Chapter 51: Drugs for Angina Pectoris
Chapter 52: Anticoagulant, antiplatelet, and Thrombolytic Drugs
Chapter 53: Management of ST-Elevation Myocardial Infarction
Chapter 107: Additional Noteworthy Drugs (section on Drugs for Pulmonary Arterial Hypertension)
Second Source:
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.).
Philadelphia, PA: Wolters Kluwer Health.
Chapter 23: Management of Patients with Chest and Lower Respiratory Tract Disorders (sections on
“Pulmonary Hypertension” and “Pulmonary Embolism”)
Chapter 25: Assessment of Cardiovascular Function (section on “Diagnostic Evaluation”)
Chapter 27: Management of Patients with Coronary Vascular Disorders (sections on “Angina Pectoris”, “Acute
Coronary Syndrome and Myocardial Infarction”, “Invasive Coronary Artery Procedures” and “Surgical
Procedures: Coronary Artery Revascularization”)
Chapter 30: Assessment and Management of Patients with Vascular Disorders and Problems of Peripheral
Circulation
Chapter 31: Assessment and Management of Patients with Hypertension
Review the nursing diagnoses specific to the content covered in this module.
Third Source:
Ladwig, (J., Ackley, B., & Makic, M. (2017). Mosby’s guide to nursing diagnosis (5th ed.). St. Louis, MO: Elsevier.
Fourth Source:
Pillitteri, A. (2014). Maternal and child health nursing: Care of the childbearing and childrearing family (7th
ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Chapter 41: Nursing Care of a Family when a Child has a Cardiovascular Disorder (sections on “The Child
having a Cardiac Catheterization”, “The Child Scheduled for Cardiac Surgery”), “The Child with an Artificial
Valve Replacement”, and “The Child Undergoing Cardiac Transplantation”.
