Problem:
Client: Mr. Smith, 68-year-old male Diagnosis: Type 2 Diabetes Mellitus, newly diagnosed with Stage 2 chronic kidney disease (CKD) Admission Reason: Uncontrolled blood glucose and fatigue Mr. Smith was admitted to a medical-surgical unit from the emergency department after reporting confusion, fatigue, and blurred vision. Lab results revealed a blood glucose of 468 mg/dL and an elevated creatinine. The provider entered orders into the electronic health record (EHR) system for insulin therapy, a renal diet, fluid restriction, and daily weights. You are the nurse assigned to care for Mr. Smith. You notice that the blood glucose monitoring orders were not updated after a change to the insulin therapy. You also notice a medication alert flag in the EHR indicating a potential drug interaction between metformin and a newly added ACE inhibitor, but the alert was overridden earlier by a provider. You consult the clinical decision support system (CDSS) and notify the provider, prompting a medication adjustment. You document the encounter and send a secure message to the dietitian through the interdisciplinary communication platform for an urgent nutrition consult. You begin to educate Mr. Smith about using a mobile glucose tracking app that syncs with his provider's portal. Instructions: Please complete. Need Assignment Help?