Evaluate the Health History and Medical Information for Mr. C., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

It is necessary for an RN-BSN-prepared nurse to demonstrate an
enhanced understanding of the pathophysiological processes of disease,
the clinical manifestations and treatment protocols, and how they affect
clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based
on this information, formulate a conclusion based on your evaluation,
and complete the Critical Thinking Essay assignment, as instructed
below.

Health History and Medical Information

Health History

Mr.
C., a 32-year-old single male, is seeking information at the outpatient
center regarding possible bariatric surgery for his obesity. He
currently works at a catalog telephone center. He reports that he has
always been heavy, even as a small child, gaining approximately 100
pounds in the last 2-3 years. Previous medical evaluations have not
indicated any metabolic diseases, but he says he has sleep apnea and
high blood pressure, which he tries to control by restricting dietary
sodium. Mr. C. reports increasing shortness of breath with activity,
swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe
   the potential health risks for obesity that are of concern for Mr. C.
   Discuss whether bariatric surgery is an appropriate intervention.
3. Assess
   each of Mr. C.’s functional health patterns using the information
   given. Discuss at least five actual or potential problems can you
   identify from the functional health patterns and provide the rationale
   for each. (Functional health patterns include health-perception,
   health-management, nutritional, metabolic, elimination,
   activity-exercise, sleep-rest, cognitive-perceptual,
   self-perception/self-concept, role-relationship, sexuality/reproductive,
   coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider
   ESRD prevention and health promotion opportunities. Describe what type
   of patient education should be provided to Mr. C. for prevention of
   future events, health restoration, and avoidance of deterioration of
   renal status.
6. Explain the type of resources available for ESRD
   patients for nonacute care and the type of multidisciplinary approach
   that would be beneficial for these patients. Consider aspects such as
   devices, transportation, living conditions, return-to-employment issues.

You
are required to cite to a minimum of two sources to complete this
assignment. Sources must be published within the last 5 years and
appropriate for the assignment criteria and relevant to nursing
practice.

Prepare this assignment according to the guidelines
found in the APA Style Guide, located in the Student Success Center. An
abstract is not required.

This assignment uses a rubric. Please
review the rubric prior to beginning the assignment to become familiar
with the expectations for successful completion.