Problem:
The nurse is performing an assessment in the outpatient clinic on a 63 year-old male client. His initial blood pressure is 189/113, heart rate of 94 beats/min and a respiration rate of 26 breaths/minute. The client weighs 218 pounds with a BMI of 33. The client reports a smoking history of 25 cigarettes per day and an average of 2 alcoholic drinks per day. The client also informs the nurse that he recently lost his job as the director of sales at a local company and is worried about providing for his family. The client exercises once a week by walking with his family in the park. The client does not take any prescription or herbal medications and reports a history of sleep apnea, but no other health issues.