spouse for changes in mental status from his baseline. The client's wife reports that he woke at 0600 to complete his morning routine. At approximately 1100 he became unaware of his surroundings and began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils equal and reactive to light. Vital Signs Time Temp P RR B/P Pulse oximeter 1200 99.5° F (37.5 °C) 118 32 97/66 89% on RA Medications Empagliflozin 10 mg PO daily Sitagliptin/ metformin 50-1000 mg PO daily Valsartan 160 mg PO daily Which 4 findings are most significant? Lung sounds History of type Il diabetes Respiratory status Circulation Pupils Temperature Mental status Medications
spouse for changes in mental status from his baseline. The client's wife reports that he woke at 0600 to complete his morning routine. At approximately 1100 he became unaware of his surroundings and began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils equal and reactive to light. Vital Signs Time Temp P RR B/P Pulse oximeter 1200 99.5° F (37.5 °C) 118 32 97/66 89% on RA Medications Empagliflozin 10 mg PO daily Sitagliptin/ metformin 50-1000 mg PO daily Valsartan 160 mg PO daily Which 4 findings are most significant? Lung sounds History of type Il diabetes Respiratory status Circulation Pupils Temperature Mental status Medications
Chapter21: Carbohydrate- Controlled Diets For Diabetes Mellitus
Section: Chapter Questions
Problem 2CA
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Transcribed Image Text:A 73-year-old male with a history of type II diabetes presented to the emergency
department due to a change in mental status.
Nurses' Notes
1200 73-year-old male with a history of diabetes type II brought to the emergency department by
spouse for changes in mental status from his baseline. The client's wife reports that he woke at 0600
to complete his morning routine. At approximately 1100 he became unaware of his surroundings and
began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus
odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils
equal and reactive to light.
Vital Signs
Time
Temp
P
RR
B/P
Pulse oximeter
1200
99.5° F (37.5 °C)
118
32
97/66
89% on RA
Medications
Empagliflozin 10 mg PO daily
Sitagliptin / metformin 50-1000 mg PO daily
Valsartan 160 mg PO daily
Which 4 findings are most significant?
Lung sounds
History of type Il diabetes.
Respiratory status
Circulation
Pupils
Temperature
Mental status
Medications
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