Question

In: Nursing

1. A 75-year-old client who has had Type I diabetes for 50 years tells the medical...

1. A 75-year-old client who has had Type I diabetes for 50 years tells the medical office assistant that she feels weak and shaky and would like some tea with sugar in it. The MOA does not observe any shaking. What action should the MOA take?  

2. The MOA is assisting a 50-year-old client with his glucose monitoring. He has a machine that gives an automatic reading. What step is taken prior to obtaining a drop of blood to ensure an accurate reading?

3. An MOA approaches a diabetic client to ask a question. The client's speech is slurred and he is combative towards the MOA. He also has a very unsteady gait. What action should the MOA take?

Solutions

Expert Solution

1st Answer: The medical office assistant should check the client's sugar levels since the client has said that she feels weak and shaky. Sugar could be given to the client only if the client has low blood sugar levels.

2nd Answer: The MOA should ensure that;

  1. the glucose strips are within the expiry date limit. Also the strips that are being used should be kept away from moisture so that they are not contaminated.
  2. the machine should be in a good working condition.
  3. the client should wash their hands and then the MOA should disinfect the site before pricking for collection of drop blood.
  4. ensure that only with a single prick, a drop of is collected.
  5. make sure the drop of blood is placed on the correct site on the strip.

3rd Answer: The client displays signs and symptoms of hypoglycaemia (low blood sugar) and so the medical office assistant has to confirm the client's sugar levels by doing a blood glucose test before admistering any glucose to increase the blood glucose levels. The MOA should make the patient comfortable by making the patient be seated and also calm down the patient since the patient has unsteady gait and is in a combative mood. The MOA should be kind and approachable to the client.


Related Solutions

1. A 56 year-old woman has had Type 2 diabetes mellitus for sixteen years. She now...
1. A 56 year-old woman has had Type 2 diabetes mellitus for sixteen years. She now has gross proteinuria and her blood sugars average 256 mg/dl with glycosylated hemoglobin of 10.9%. a. What recommendations do you have for her? b. What are your treatment goals and why? c. Discuss pathophysiology of the disease or physiology of the organism that the drug(s) are addressing. d. Rationales for using the specified drug(s), emphasize the APRN role in the assessment, diagnosis, and pharmacological...
You are caring for a 62-year-old woman who has had type 2 diabetes for more than...
You are caring for a 62-year-old woman who has had type 2 diabetes for more than 20 years. She is blind and has renal failure. Her 28-year-old daughter asks you what her own chances are for developing diabetes. The daughter reports that her 38-year-old sister has just been diagnosed with type 2 diabetes. You note that the daughter is 5' 4" tall and weighs about 220 lbs. She is a secretary and has a 1-year-old son. 1. What personal questions...
Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when...
Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when he was 5 years old. He is comfortable taking his "blood sugar" readings during the day. He likes to participate in sports and is on the soccer team, which practices three times a week after school. His mother always packs his lunch for school so he does not have to worry about eating the food in the cafeteria. For this written assignment plan a...
Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when...
Jason is 11 years old and has Type 1 Diabetes. He was diagnosed with Diabetes when he was 5 years old. He is comfortable taking his "blood sugar" readings during the day. He likes to participate in sports and is on the soccer team, which practices three times a week after school. His mother always packs his lunch for school so he does not have to worry about eating the food in the cafeteria. For this written assignment plan a...
The nurse is caring for Martin, a 12-year-old with Type 1 diabetes Mallitus who has been...
The nurse is caring for Martin, a 12-year-old with Type 1 diabetes Mallitus who has been sick for the last few days with vomiting 4-5 times a day and states that his right lower belly hurts when he moves. he presents to the emergency room . 1) describe the clinical manifestations of dehydration Martin may exhibit. 2) identify the precautions the mother must take in caring for her son with Type 1 diabetes when dehydration occurs what is the nursing...
medical therapy Case study Teresa is a 45-year-old woman who is diagnosed of diabetes type 2...
medical therapy Case study Teresa is a 45-year-old woman who is diagnosed of diabetes type 2 for 3 years and therefore now referred to nutrition counseling. She works in private food canteen. There is history of CVD in her family. She does not smoke and her current weight is 178 lb and her height is 63 inches. She has been at this weight for more than 6 months. She states that nutrition counseling will not help to solve her problem...
So, I had a patient who is a 85 year old, no past medical or surgical...
So, I had a patient who is a 85 year old, no past medical or surgical history who came in after fall from 3rd floor of building during a suicide attempt. He contained multiple trauma, and hip fracture. Chest CT-scan showed right ninth rib fracture. Right wrist xray shows avulsion fracture noted at the dorsal carpus. Vital signs were stable, afebrile and room air. He has abdominal incision, staples were removed, dry, intact, no redness. Wound on the right elbow....
A nurse is providing teaching to an adolescent client who has type 1 diabetes mellitus which...
A nurse is providing teaching to an adolescent client who has type 1 diabetes mellitus which of the following client statement indicates an understanding of the teaching I should drink 4 ounces of milk if my blood sugar is low I should test my urine for ketones if I become sick I should have an A1C level greater than 8% I should decrease my food intake prior to exercise
You are caring for a 12-year-old client newly diagnosed with type 1 diabetes mellitus. Create a...
You are caring for a 12-year-old client newly diagnosed with type 1 diabetes mellitus. Create a handout that the client could take with them about the different types of long acting insulin. Provide examples of drugs in this classification, how to administer, adverse effects and important teaching/safety measures for a client taking this of medication. Conduct internet research to assist in the development of the handout. Remember, include a minimum of 2 reference according to APA format. How do I...
my 61 year old Male patient with type 1 diabetes, CRF and retinopathy, who is in...
my 61 year old Male patient with type 1 diabetes, CRF and retinopathy, who is in a pre dialysis condition, is sick of his exchange diet, what can I recomened to him ?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT