You are caring for a client with diabetes. You notice that the client is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem? How would you go about the situation?
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You are caring for a client with diabetes. You notice that the client is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem?
How would you go about the situation?
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- Is a client is able to self medicate, it is not necessary to remain with the client until the medication is seen to be swallowed. Explain why you don’t have to witness this.A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”Sally Donovan, 92 years old, is in the gerontology clinic today. She currently lives with her 65-year-old son. You notice that she has lost 30 pounds since her last visit 2 months ago. Her demeanor is submissive and she looks to her son to answer any direct questions from the medical assistant and the provider. At checkout, her son opens her checkbook and writes the check for her co-payment, including signing her name on the signature line. What are the alarm signs for potential elder abuse with Ms. Donovan?
- you are assigned to care for a 56-year postoperative patient with a history of type 2 diabetes. Upon returning from physical therapy this morning, your patient reports sweating, shakiness, paresthesia, and anxiety. You should?Joseph Barnes is a CMA (AAMA) certified medical assistant working at a family practice. Today, she was assigned to answer the phone. One of the calls comes from a 42-year-old patient who states the doctor saw him 3 months ago and prescribed Mounjaro, a medication for Diabetes and Lunesta a medication for insomnia. The patient would like to obtain a refill for the medication even though she does not have an appointment scheduled. a. What should Joseph do? b. What kind of controlled substances can a medical assistant call in to a pharmacy? c. How can you identify a controlled substance just by looking at the label of a medication? d. Which agency enforces proper use of controlled substances?The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. 1.…
- The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. What type…The nurse is assessing a patient who had a thyroidectomy 12 hours ago. The patient appears anxious and reports tingling around the mouth and muscle twitching in the right hand. Which of the following actions would be a priority for the nurse to take? a. Evaluate the client's vocal quality and strength b. Check the client's most recent arterial blood gas results c. Obtain a blood specimen to check the serum calcium level d. Change the surgical dressing to assess for bleedingWhat nursing actions should you take if a client's blood glucose level is abnormal.
- You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet. Doctor said something about my ‘A1c’. Do you know what that is about?” ----- Can you Explain in detail what is A1c? Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize…You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Please explain to JD and his sister some of the diabetes treatment options, including diet, exercise, insulin injections, and oral medications. Please explain to JD’s sister the different types of carbohydrates.…You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood sugar, pre-diabetes, and diabetes according to the ADA. Please also describe the target HbA1c level for…