1200. 73-year-old client with a history of diabetes type II brought to the emergency department by spouse for changes in mental status from their baseline. The client’s spouse reports that the client woke at 0600 to complete their morning routine. At approximately 1100 the client became unaware of their surroundings and began sweating profusely and slurring their words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. The client is awake and alert, pupils equal and reactive to light. 205lbs (93kg) 1215. Voided 30mL dark amber urine sent for urinalysis. Comprehensive metabolic panel, CBC, and ABG. IV of normal saline started. Capillary glucose is 440.   Vital Signs   Time 1200 1215   Temp 99.5° F (37.5 °C) 99.5° F (37.5 °C)   P 118 115   RR 32 30   B/P 97/66 98/70   Pulse oximeter 89% on RA 92% on 2L NC   Medications   Empagliflozin 10 mg PO daily   Sitagliptin / metformin 50-1000 mg PO daily   Valsartan 160 mg PO daily   Laboratory Report   Lab Results Reference range ABG pH 7.20 7.35-7.45 ABG PC02 45 35-45 mmHg ABG HC03 32 22-26 mEq/L Creatine (Serum) 1.9 0.9 to 1.4 mg/dL Glucose random 435  70- 140 mg/dL Other (urine) Positive ketones negative Potassium(serum) 2.4 3.5to 5.5 mEq/L Which problem should the nurse assess first?

The unlicensed assistive personnel reports to the RN that a client with Type 1 diabetes has a question about exercise. What important points will the RN be sure to teach this client? Select all that apply.

After stabilization of Addison’s disease, the nurse teaches the client about stress management. What information will the nurse include in the client’s teaching?

The nurse has completed teaching the diabetic client about metformin. What statement by the client indicates that the teaching has been effective?

A client with Addison’s disease is scheduled for discharge after being hospitalized for an adrenal crisis. Which statements by the client indicate that teaching has been effective? Select all that apply.

What statement by the client concerning glipizide indicates that medication teaching has been effective?

Which orders by the health care provider will the nurse delegate to an experienced unlicensed assistive personnel (UAP)? Select all that apply.

1200  73-year-old client with a history of diabetes type II brought to the emergency department by spouse for changes in mental status from their baseline. The client’s spouse reports that the client woke at 0600 to complete their morning routine. At approximately 1100 the client became unaware of their surroundings and began sweating profusely and slurring their words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. The client is awake and alert, pupils equal and reactive to light. 205lbs (93kg). Vital Signs   Time 1200   Temp 99.5° F (37.5 °C)   P 118   RR 32   B/P 97/66   Pulse oximeter 89% on RA   Medications   Empagliflozin 10 mg PO daily Sitagliptin / metformin 50-1000 mg PO daily Valsartan 160 mg PO daily Which findings are most significant? SELECT ALL THAT APPLY.

What is the primary benefit of an exercise program for the diabetic client?

Neuropathy is a common complication of diabetes. The most common neuropathy is symmetrical peripheral polyneuropathy. Which of the following is an early symptom of this complication?