Question

Use the following scenario and client data to answer the question. A nurse is caring for a client who has metabolic syndrome. Findings upon admission: Medical History Schizophrenia with affective symptoms Nicotine use disorder Moderate, persistent asthma Medication Administration Record Olanzapine 10 mg pO twice daily Lamotrigine 150 mg PO twice dally Buspirone 15 mg PO twice daily Montelukast 10 mg PO once daily Vital Signs Blood pressure 130/84 mm Hg Heart rate 96/min Respiratory rate 28/min Temperature 37.3° C (99.1° F) Diagnostic Results Fasting blood glucose 102 mg/du LDL 150 mg/dL HbAtc7.9% Paco) 47 mm H Physical Examination Height 162.5 om (64 in) Weight 100 kg (221 b) Chent reports smoking two packs of cigarettes each day Adventitious breath sounds on auscultation inspiratory wheezes in bilateral upper lobes on auscultation Erect posture purposeful gait Client reports smoking two packs of cigaretes each day Adventitious treath sounds on ม°tation inspiratory wheeres in bilateral upper lobes on ausouitation Erect posture Slow, purposeful gait Monotone voice with mumbling speech click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving or an indicatien that the client's condition is worsening) The nurse is assessing the client 3 months later. How should the nurse interpret the findings related to metabolic syndromet (For each finding Indication of Wersening Condition indication of impreving Conditien Unrelated to Diagnosis Findings 3 Months Later Weight 105 kg (232 Clent denies halucinations ยเ00d pressure 12478 mm Hg DL 125 m Shufting sar

Answer 1

Answer :

Findings after 3 months :

1. HbA1C is 9.2% it indicates the client conditioning is worsening, because before 3 months it was 7.9% only.

* this test test is done for diabetic clients.

* previous it was at least purposeful

* the normal level is below 6%.

2. Weight : is also increased, from 100 to 105kgs.

* so it indicates client condition is not improving.

* the normal BMI should be maintained by all the persons that is 18- 24.9 kgs/ meter square.

* but here client BMI ( body mass index) is 39.77 kgs per meter square.

* so the client is extremely obase.

* so the reduction of weight is important.

3. Hallucinations : are we can seen in schizophrenia clients.

* so it is related to diagnosis.

* hallucinations means it is a perception of something is not present.

* so, here also condition is worsening.

4. Blood pressure is under control.

* before it was 130/84 mm of hg. And now it is 124/78 mm of hg.

* according to this condition is better.

5. LDL leves also decreased from 150 mg/dl to 125 mg/ FL.

* but still has to decrease below to 100 mg/ dl is the normal.

6. Shuffering gait means decreased movements of extremities or hypokinesia.

* it also indicates worsening of condition.

* previous it was at least purposeful and slow gait ,now shuffering gait.