solved
Lincoln Stark is an 82-year-old Nigerian client with a 30-year history of type2 diabetes mellitus. His blood pressure is controlled by taking both an ACE inhibitor and a beta-blocker. During his last colonoscopy 10 years ago, he learned he had diverticulosis. He walks 1 mile each day to the coffee shop but sometimes feels unsteady on his feet due to the neuropathy and lack of feeling in his feet. He’s married to June, his wife for over 50 years. They have 6 children, 27 grandchildren, and 5 great-grandchildren. Lincoln and June live on a meager retirement incomeand a small 401(k) account since he retired 10 years ago. He tells the nurse that he misses being able to read his Bible each day because of his poor vision but is still able to play cards with his parish friends from the local Roman Catholic Church.
Lincoln comes to the health care provider today for a routine appointment. The provider notes that his weight is down 15 pounds since his last visit 11 months ago. His BMI is 16 (normal BMI is 19-24). Lincoln admits that his pants feel looser and he has to wear a belt to keep them up. He also shares that his appetite is not what it used to be and he is more constipated lately. He is also more tired than usual and feels cold much of the time.
What data are relevant and then identify why they are clinically significant by the nurse.
2.What questions should the nurse ask with regard to Mr. Stark’s diet, lack of feeling in his feet, and his vision?
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