Assignment task:
Mr. Smith, a 50-year-old male, presents to the office for a comprehensive physical. His blood pressure reading is 162/110 mmHg, with an apical pulse rate of 79 beats/min and regular. He has a history of smoking and drinking six beers per night. He is 5'8" and 230 lbs. Mr. Smith works as a prison guard. He is not previously diabetic but has not had a physical exam since age 25, upon discharge from the military. He has a family history of diabetes (paternal), and his mother is deceased due to ovarian cancer at age 62. He does complain of a mild headache, Describe potential cardiovascular and renal physical assessment findings for this patient. What tests would be ordered today and why? Provider a list of medication(s) with rationale(s) that you recommend to be started today. Considering cardiovascular and renal standpoints, discuss what drug side effects, contraindications, or safety concerns would be important to consider. Discuss the education that would be provided to the patient today based on his risk factors. When would you follow up with this patient to determine a therapeutic response and why? Discuss the cultural considerations that would be important in managing this client.