How to Answer Patient Overview Client Questions (Complete Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to patient overview client and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves patient overview client. A strong answer should include explanation, application, and examples.
Original Question
Patient Overview: Client Name: Amy Reynolds Gender: Female Race: Caucasian Age: 57 Weight: 205 lbs Location: Med Surg Physician: Dr. James Height: 5’4″ Client Information: Ms Reynolds was a direct admission from her Dr’s office yesterday for complaints of feeling tired and a “HIGH” reading on her home glucometer. On admission she was experiencing dysuria, frequency, temp of 102.6°F, vomiting, diarrhea, and a blood glucose level of 425. She is on the Med-Surg unit and is planning on being discharged this afternoon. She had been taking oral hypoglycemic agents prior to this hospital admission but will be discharged home on insulin in addition to her oral hypoglycemic agent. Past Medical History: Diabetes Type II, Hypertension, GERD Allergy: NKDA Social History: Works at local grocery store as cashier. Two grown children that both live outside of the home. No history of tobacco or recreational drug use. Occasional alcohol use. Surgeries/Procedures: None Medication List: insulin lispro SC, insulin glargine SC; metformin PO, hydrochlorothiazide PO, omeprazole PO, metoprolol PO, captopril PO, phenazopyridine PO, levofloxacin PO, acetaminophen PO Initial lab work: CBC: WBC-17, RBC-4.30, Hgb-12.8, Hct-38, MCV-8.8, MCH-29.7, MCHC-34, RDW-12.5, Platelets-325, Bands-2, Segs-85, Lymph-10, Mono-3 CMP: Na+-138, K+-3.6, Cl–102, CO2-25, BG-432, BUN-25, Creatinine-1.2, Ca+-8.8, AST-32, ALT-44, ALK Phos-65, Total Bili-0.02, Total Prot-6.0, Albumin-3.5 Hb A1C – 9.9% UA: Color-Dk Amber, Appearance-Hazy, Spec Gravity-1.040, pH-8.2, GL- > 800, Ketones-Neg, Blood-Pos, Nitrate Pos, Protein-35, Bili-Neg, UroBili-0.2, Bacteria-4+, Leukocyte-Pos, Explain the pathophysiology of Type II Diabetes Mellitus. What is the difference between Type I and Type II Diabetes Mellitus? 2. What are signs and symptoms of hyperglycemia? Hypoglycemia? 3. Why are diabetics at an increased risk for a UTI? 4. What potential problems is Amy Reynolds at risk for during your shift? What assessment data (subjective and objective (vital sign changes, lab values, etc.) would support the potential problem being an actual problem? How would you manage the problem (nursing interventions)? Medications: Medication List: insulin lispro SC, insulin glargine SC, metoprolol PO, captopril PO, phenazopyridine PO, levofloxacin PO a. List the drug class, mechanism of action, onset, peak, and duration of each patient’s medications. b. Why do you think Amy Reynolds was prescribed these medications? c. What physiological effects will these medications have on Amy Reynolds? d. What side effects will you teach Amy Reynolds about before administering these medications Labs/Procedures: List abnormal findings from patient’s initial labs. Identify and discuss which findings are related to Amy Reynolds’ diagnosis of uncontrolled diabetes and UTI.
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