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    Hesi PN Exit Proctored Exam Three
    Select All That Apply

    The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes. He has a history of depression, which is treated with paroxetine 10 mg orally every day. The client also states that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's BMI is 28. His random blood sugar is 8.7 Review H and P and laboratory results. What should be included in the treatment regimen for this client? Select all that apply.

    Explanation & Rationale

    Based on the provided information, the following components should be included in the treatment regimen for this client: Oral anti-diabetic: While oral medications are common in managing type 2 diabetes, the current information does not suggest immediate initiation of pharmacotherapy based solely on the random blood sugar result without further evaluation. Weight-reduction treatment: With a BMI of 28, the client is considered overweight. Weight reduction is an important aspect of managing diabetes and improving overall health. The treatment regimen should include strategies to promote weight loss, such as dietary modifications and increased physical activity. Exercise planning: Regular exercise is beneficial for managing diabetes and promoting overall health. The treatment regimen should include an exercise plan tailored to the client's abilities and preferences. This may involve aerobic exercises, strength training, and flexibility exercises. Nutrition education: Nutrition plays a crucial role in diabetes management. The client should receive education on healthy eating habits, portion control, carbohydrate counting, and the importance of a balanced diet. The treatment regimen should include ongoing nutrition education and support. The following options should not be included in the treatment regimen for this client: Short-acting insulin: Based on the information provided, there is no indication for the immediate use of short-acting insulin in this client. Long-acting insulin: Similar to short-acting insulin, there is no indication for the immediate use of long-acting insulin in this client. Extra carbohydrates: Extra carbohydrates may not be necessary for this client unless prescribed by a healthcare professional to manage hypoglycemia or specific dietary needs.

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