The nurse is caring for a 73-year-old client in the emergency department Nurses’ Note Admission

The nurse is caring for a 73-year-old client in the emergency department Nurses’ Note Admission 0800: The client is brought to the emergency department by the spouse after 1 day of increasing confusion. On arrival, the client is lethargic. Neurologic examination shows no focal findings. Mucous membranes are moist. Cardiopulmonary examination reveals no abnormalities. The abdomen is soft and non-tender. A nonhealing diabetic ulcer with small eschar is present over the right heel; there is no purulence, tenderness, or surrounding erythema. Medical history includes type 2 diabetes mellitus, peripheral neuropathy, and coronary artery disease.

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