What is his 10-year risk assessment according to Clinical? Should he be started on lipid-lowering therapy?

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A male patient, who is a house painter and whom you have not seen in several years, presents with chronic fatigue and mild chest pain frequently relieved by taking a break from painting. He is married to a 47-year-old woman with multiple sclerosis and has two married children and one grandchild living nearby. He also complains of frequent eructation, flatulence, and indigestion after eating. He was told (when he weighed 30 lbs. less than he does now) that he could control his hyperlipidemia by diet.

  1. What additional subjective data do you think the patient will share?
  2. What additional objective data will you be assessing for?
  3. How is his BP according to the Eighth Joint National Committee (JNC 8)?
  4. What is his 10-year risk assessment according to Clinical? Should he be started on lipid-lowering therapy?
  5. What National Guidelines are appropriate to consider?
  6. What tests will you order?
  7. Will you be looking for a consult?
  8. What are the medical and nursing diagnoses?
  9. Are there any legal/ethical considerations?
  10. What is your plan of care?
  11. What additional patient teaching is needed?

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