A 55 year-old is seeing the family physician. The patient reports increased thirst, frequent urination, and...

A 55 year-old is seeing the family physician. The patient reports increased thirst, frequent urination, and an 8 pound weight loss. The patient's wife has diabetes and has been using her capillary blood glucose monitor to check the patient's glucose levels. The results were 206mg/dL and 208 mg/dL on separate days. Today the patient's glucose is 212mg/dL. The physician prescribes glimepiride (Amaryl).

1. the patient asks how a pill will lower his blood sugar. How does the nurse respond? What is the rationale for the nurses response?

2. At the patient's next visit, his A1C level is 6%. How will the nurse interpret this finding? What does the A1C measure?

Expert Solution

1.The nurse can respond in the following way

First explain what is diabetes ,this helps the patient to gain the basic knowledge on the disease condition and its management .
Differentiate type 1 and type 2 diabetes, to understand how the medication will act .
The patient is having type 2 diabetes .So there will be insulin in the body but not used appropriately.Therefore when medication is administered this will help to release the insulin and control the blood sugar .

2.A1C measures the average blood glucose levels of a patient in the past three months .The level between 5.7-6.4 means patient are in Pre diabetic stage in a healthy individuals .The patient has 6% being diabetic which means the blood glucose are well controlled .(The average blood sugar is 126mg/dL which is near to normal range .

Nightingale answered 2 years ago

Your patient is a 19-year-old that was admitted fatigue, weight loss, excessive thirst, and frequent urination....

Your patient is a 19-year-old that was admitted fatigue, weight loss, excessive thirst, and frequent urination. They are diagnosed as a new Type 1 diabetic. In patients with Type 1 diabetes, a carb consistent eating pattern is encouraged to provide better blood glucose control and easier insulin administration especially when the patient is learning how to manage their diabetes. Based on the above patient’s recommended carbohydrate intake, design a full day of consistent carbohydrate and balanced meals for this patient...

A 60-year-old patient complains of thirst, frequent urination, dry mouth, tingling sensation, chilly feet, and a...

A 60-year-old patient complains of thirst, frequent urination, dry mouth, tingling sensation, chilly feet, and a feeling of heaviness in the right lower leg for a long time. He has been suffering from diabetes for about 10 years. For 4 years, he notes the appearance of pain in the right leg when walking. Height 170 cm, weight 120 kg, with a predominant deposition of adipose tissue in the waist area. On the right leg: the foot has normal temperature, the...

Chief Complaint: 8-year-old girl with excessive thirst, frequent urination, and weight loss. History: Cindy Mallon, an...

Chief Complaint: 8-year-old girl with excessive thirst, frequent urination, and weight loss. History: Cindy Mallon, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three...

A 41-year-old male presents to the emergency room complaining of frequent urination, increased hunger, “always being...

A 41-year-old male presents to the emergency room complaining of frequent urination, increased hunger, “always being thirsty,” and fatigue. He is diagnosed with type 2 diabetes mellitus. In your initial post answer the following questions: In explaining to him the physiological reason for his symptoms, what cellular functions do you think would help him understand his disease? How might you explain his fatigue on a cellular level?

Rachael has been complaining of frequent and burning urination. She also reported seeing some blood in...

Rachael has been complaining of frequent and burning urination. She also reported seeing some blood in her urine. Her physician suspects cystitis. What is cystitis? How could she have got cystitis? Explain the anatomy of the urinary bladder in detail.

complete the table Disorders Symptoms Lab Test Results Diabetes Insipidus Frequent urination, excessive thirst Normal blood...

complete the table Disorders Symptoms Lab Test Results Diabetes Insipidus Frequent urination, excessive thirst Normal blood glucose level, no glucose in the urine, low ADH level in the blood Acromegaly Addison’s disease Cushing’s syndrome Hyperparathyroidism Hyperthyroidism Hypothyroidism Polycystic Ovarian Syndrome (PCOS) Type I Diabetes Mellitus Type 2 Diabetes Mellitus Why are blood tests used in the diagnosis of endocrine disorders? Why is age and sex important in diagnosing endocrine disorders? General information on the Endocrine system

A 25-year-old woman with type 1 diabetes comes to the emergency department complaining of thirst, frequent...

A 25-year-old woman with type 1 diabetes comes to the emergency department complaining of thirst, frequent urination, and weakness. She feels “lightheaded” when she stands. Because of nausea and vomiting after a meal in a restaurant the previous day, she stopped eating and taking her insulin. On examination, she is dehydrated and hypotensive. Her breathing is rapid and deep. 1. Which of the following is likely to be lower than normal? a. Urinary urea levels b. Plasma levels of glucagon...

DJ is a 64-year-old man who presents to the familypractice complaining of increased urination at...

DJ is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. Questions: What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for...

Ms. W. is a 55-year-old patient who consulted her physician because of recurrent epigastric pain and...

Ms. W. is a 55-year-old patient who consulted her physician because of recurrent epigastric pain and nausea and two recent episodes of vomiting, in which the emesis was dark-colored and granular in appearance. Her history includes heavy alcohol use, cigarette smoking, and persistent headaches. She has not followed all her physician’s previous recommendations but has been controlling her headaches by taking two aspirins every few hours. Following tests, a bleeding gastric ulcer was diagnosed. Discuss the factors contributing to Ms....

Urinary Tract Infection E.L. is a 27-year-old woman who complains of urgency to urinate, frequent urination,...

Urinary Tract Infection E.L. is a 27-year-old woman who complains of urgency to urinate, frequent urination, and urethral burning sensation during urination. Symptoms began 48 hours ago. She has a history of recurring urinary tract infections since age 22, when she got married. 1. What type of UTI does she probably have? 2. What is the most likely reason she has recurring UTIs? E.L. is allergic to penicillin. Vital signs are as follows: Temperature 98.6° F orally Blood pressure 114/64...

Question