Reference no: EM133819937

Question

Understand the related physiologic or psychological response related to each of the following nursing diagnoses based on the information in the scenario? Nursing Diagnoses -Ineffective health maintenance related to insufficient resources -Ineffective peripheral tissue perfusion related to hypertension -Activity intolerance related to fatigue Ellie is a 54-year-old Native American cisgender female who presents to the clinic for an annual wellness visit. She states that although she has gained weight this past year, she has been feeling generally well, and she wants to make sure she is on track with her health, as she is expecting the arrival of her first grandchild. She expresses worry about her energy levels and occasional episodes of fatigue, which affect her ability to perform her job responsibilities. She states she earns minimum wage as a guide for a Native American heritage museum. Name: Ellie Age: 54 Cultural Background: Native American Medical History: hypertension, dyslipidemia, overweight Medication: Lisinopril and Lipitor Marital Status: Widowed, with two adult children Vital Signs BP: 138/84 HR: 90 RR: 20 Oxygen: 99% RA Temp 37.7°C Body mass index (BMI): 28 Diagnostics and Screenings (Labs taken x1 week prior to wellness visit) Laboratory Test Results CBC WNL Glucose 93 mg/dL Blood urea nitrogen (BUN) 15 mg/dL Creatinine 1.2 mg/dL Sodium 135 mEq/L Potassium 3.8 mEq/L Chloride 101 mEq/L Total Protein 8.0 g/dL Aspartate aminotransferase (AST) 25 units/L Alanine aminotransferase (ALT) 48 units/L Total cholesterol 202 mg/dL Low density cholesterol (LDL) 160 mg/dL High density cholesterol (HDL) 40 mg/dL Mammogram: Normal; last performed at age 50 Pap Smear and HPV Testing: Normal; last performed at age 50 Immunizations: Unknown