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    Ati 0926 beg med surg proctored exam

    A nurse in an emergency department is caring for a 52-year-old male client. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Rationale Most Likely Condition Diabetes mellitus Rationale: The client presents with classic symptoms of diabetes mellitus — polyuria (frequent urination), polydipsia (excessive thirst), polyphagia (increased hunger), obesity (BMI 30), and delayed wound healing. These findings strongly suggest impaired glucose regulation. Two Actions to Take Ask for referral with a registered dietician Rationale: Nutrition therapy is a cornerstone of diabetes management. A dietician can help the client with individualized dietary modifications for glycemic control and weight reduction. Request for a prescription for an insulin stimulator Rationale: The client’s symptoms point to newly diagnosed diabetes requiring pharmacologic management. An oral antidiabetic (insulin secretagogue/stimulator) or insulin itself may be prescribed to improve glycemic control. Two Parameters to Monitor Serum glucose level Rationale: Frequent blood glucose monitoring is necessary to evaluate immediate treatment effectiveness and guide medication adjustments. Glycosylated hemoglobin assay (HbA1c) Rationale: HbA1c reflects average blood glucose levels over the past 2–3 months and is used to assess long-term diabetes control.

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