The nurse notes that a patient with type 2 diabetes mellitus is ...

[Sufayan.ah]

The nurse notes that a patient with type 2 diabetes mellitus is not prescribed aspirin 81 mg as recommended for the prevention of cardiovascular complications.
 
  What information in the patient's health history should the nurse use to understand why this medication has not been prescribed for the patient?
  Select all that apply.
 
  1. Patient receives a vitamin B12 injection every month.
  2. Patient admitted for gastrointestinal bleeding 3 months ago.
  3. Patient prescribed warfarin (Coumadin) 2.5 mg by mouth every day.
  4. Patient treated for chronic alcoholism and liver cirrhosis the past year.
  5. Patient develops a rash and urticaria when taking medications with sulfa.

Question 2

A 16-year-old patient in an outpatient setting with a body mass index of 35 tells the nurse, I am going to lose weight by eliminating all fat from my diet. Which action should the nurse take first?
 
  1. Contact the physician.
  2. Notify the patient's parents.
  3. Refer the patient to a dietitian.
  4. Discuss the role of fat in metabolism.

[meryzewe]

Answer to Question 1

Correct Answer: 2, 3, 4
Cardiovascular disease is the most common cause of morbidity and mortality in people with diabetes mellitus. Aspirin therapy is contraindicated for patients with recent gastrointestinal bleeding, anticoagulation therapy, or active liver disease. It is not contraindicated in patients receiving vitamin B12 injections or those with an allergy to sulfa medications.

Answer to Question 2

Correct Answer: 4

All individuals require some fat in the diet. It is important for the nurse to discuss this with the patient. The interaction will provide additional information concerning the patient's knowledge of a healthy diet. A discussion with the parents and the physician is likely warranted, but this can wait until after a discussion with the patient. A referral from the physician is needed in order to contact the dietitian.

[Sufayan.ah]

Gracias!

[Alyson.hiatt@yahoo.com]

TYSM