Old client originally from nicaragua

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Sochi is a 68-year-old client originally from Nicaragua who has lived in the United States for the past 50 years. Her husband died about a year ago, but she has close ties with her children, who live nearby. She has come to your office today with complaints of increased thirst, frequent urination, fatigue, and blurred vision. She tells you that she first thought her symptoms related to working long shifts at the restaurant, but when they persisted, she became concerned. You take her vital signs and find the following: heart rate of 82 bpm, respiratory rate of 20 breaths per minute, temperature of 36.9°C (98.5°F), and blood pressure of 141/90 mmHg. Results of a nonfasting blood glucose meter test indicate a blood glucose level of 290 mg/dL. Sochi's weight is 205 lb, height is 5 ft 2 in., and BMI is 37.5. She admits that she doesn't eat well and is sedentary when not at work. On the basis of these findings, what condition would you suspect in Sochi that is most urgent?

Reference no: EM133713955

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