Get Answer: Lena Dziedzic Year Question Guide
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Original Question
Lena Dziedzic, a 47-year-old female patient (DOB: January 31, 1977), presented to the clinic last week for a consultation with the Nurse Practitioner. Her concerns included challenges with weight management following her pregnancies, as well as recent episodes of increased urination and excessive thirst. Reports No Known Allergies, Pmhx of Obesity, denied smoking, reports use of alcohol on the weekends. Denied taking any medications. On Assessment Weight 205 lbs. Height 5’4″ with a BMI of 35.2 placing her at a Obesity Class 2. Blood Pressure (BP): 115/71, Heart Rate (HR): 75, Respiratory Rate (RR): 16, Oxygen Saturation (O2 Sat): 98% on RA, Temperature (TEMP): 98.6 oral. The patient was referred for laboratory evaluation, which included a glucose tolerance test. She is scheduled to return to the nurse practitioner for a follow-up discussion regarding the results. The laboratory findings indicate a fasting blood glucose level of 145 mg/dL, a hemoglobin A1c of 7.1, and a glucose tolerance test result showing a blood glucose level of 250 mg/dL at the three-hour mark. Additionally, glycosuria was detected on urinalysis. All other laboratory results, including assessments of kidney function, are within normal limits, and the physical examination findings are also normal. The NP diagnoses the client with type 2 diabetes and considers appropriate medication therapy in addition to lifestyle Discuss your personal professional assessment of the client’s situation provided in the
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