Reference no: EM132862538

You are an LPN working on a medical-surgical floor in a team that consists of an RN and a medical assistant. Read through some of the chart entries over a 48-hour period and answer the questions at the end. Please make sure you cite any sources using APA format. You will find when there is a major clue.

0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of "low blood sugar." Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.

0530: (RN) Foley catheter inserted for incontinence--pt. "too weak" to get up to the bathroom and is experiencing bouts of incontinence.

600 mL clear yellow urine noted. The nurse indicates that the ER is "very busy" and "short-staffed." 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.

Question 1: Why did this client become confused and combative? (5-10 sentences)

Question 2: What pivotal decision made in the ER directly caused this client's worsening condition? (1-2 sentences)

Question 3: What type of incontinence did this client have? Explain your answer. (5-10 sentences)

Question 4: What factors in the client's medical history contributed to the client's change in condition? (5-10 sentences)

Question 5: How did communication (or lack thereof) contribute to the poor outcome for this client?