A nurse in the emergency department (ED) is admitting a clie…
A nurse in the emergency department (ED) is admitting a client who has Type 1 diabetes mellitus. For each potential provider’s prescription, click to specify if the prescription is anticipated, nonessential, or contraindicated. Vital Signs: 1400: Temperature: 37.2° C (99° F) Heart rate: 128/min Respiratory rate: 30/min Blood pressure: 98/58 mm Hg SpO2 saturation: 89% on room air Nurse’s Notes: 1400 Client reports increased glucose levels and “feeling really bad.” States, “I think I may have given myself the wrong dose of insulin.” Oriented to person, place, and time; appears lethargic. Skin is warm and moist. Decreased turgor. Dry mucous membranes. Pulse is rapid, S1S2 heard on auscultation. Respirations deep and rapid. Fruity odor noted to breath. Chest is clear on auscultation. Bowel sounds auscultated in 4 quadrants. Reports anorexia and abdominal pain. Reports frequent urination with no difficulty. Diagnostic Results: 1430: Sodium: 130 mEq/L (136 to 145 mEq/L) Potassium: 5.4 mEq/L (3.5 to 5 mEq/L) Glucose: 570 mg/dL (74 to 106 mg/dL) BUN: 22 mg/dL (10 to 20 mg/dL) Creatinine: 1 mg/dL (0.5 to 1 mg/dL)
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