Please present the following case study: disease, the manifestations, the labs and diagnostics and t

Please present the following case study: disease, the manifestations, the labs and diagnostics and the potential treatment. (including medications, procedures.) Most important nursing interventions and one Nursing Diagnosis, with one SMART goal and nursing interventions. Linda Pittmon is a 74yo who identifies as female and uses the pronouns she/her. Her diagnosis is uncontrolled diabetes mellitus with impending amputation. She is being admitted to the medical-surgical unit. Linda is to undergo tests related to poor circulation in the lower extremities. She has what appears to be ischemia and the provider is considering a possible amputation of the right leg below the knee. The client has type 2 diabetes mellitus for 12 years and has been on insulin for the past 5 years. The client also has hypertension and rheumatoid arthritis that typically cases pain in the hands and shoulders. When asked about complications due to diabetes, the client admitted that her legs are weak, with numbness and tingling at night, which sometimes interferes with sleep. Linda also reports poor vision that might be due to diabetes or possibly cataracts. She lives alone and is on a fixed income. Linda walks with the assistance of a quad cane borrowed from a friend. She no longer drives but has a friend who provides transportation to the grocery store every week and to the provider when necessary. Linda reports not taking the insulin as prescribed because the cost of insulin is expensive, so she does one injection a day instead of two. Linda also reports that the lancets ran out a year ago and are too expensive to purchase again so she does not check her blood glucose at home. After receiving the handoff report, the nurse should determine the client’s priority needs. Indicate if the client is a high priority or low priority using each of the priority frameworks below. Initial Nursing Assessment Upon initial assessment by the nurse, the client is alert and oriented to person, place, and time. Vital signs are temperature 38° C (100.4° F), blood pressure 145/88 mm Hg, heart rate 96/min, respiratory rate 22/min, and oxygen saturation 95% on room air; pain is 0; and capillary blood glucose via glucometer is 168 mg/dL (74 TO 106 mg/dL). Client is 5′ 2″ and weighs 99 lb. BMI of 18.1 kg/me is classified as underweight. Eyes are PERRLA; client has no teeth or dentures, and skin on upper extremities is warm, dry, thin, and tents when pinched up on the back of the hands. Senile purpuras are present, and areas of hyperpigmentation are scattered throughout. Capillary refill is less than 2 seconds of nails of both hands. Lungs are clear to auscultation bilaterally, and heart sounds S1, $2 heard. Abdomen is soft, nontender, and bowel sounds are normoactive. Client has full range of motion of all extremities. There is a dressing on the right foot that has visible yellow and green drainage that has soaked through it. Upon assessment, there is copious amount of yellow and green drainage on the dressing, along with a foul odor. Lower extremities are warm to touch to the knees and then cool to touch from below knees to feet. Both legs demonstrate rubor on the lower half of each leg when dependent, and feet are cold and ashen. Skin on the left foot and toes is intact without lesions, but capillary refill is absent. Skin on the right foot is darker than the left; the large toe and next two toes are black, with no capillary refill on any of the toes on right foot. The underside of the foot is black to the center of the arch, with a large ulcer (2.0 by 2.5 cm) on the heel and an additional ulcer (2.5 by 3.0 cm) over the medial malleolus. Client denies foot or ankle pain. When both legs were stroked with a cotton ball, the left leg could feel it being touched down to the foot; however, the right leg could not feel the cotton ball on the lower half of the lower leg nor on the foot. The client stated that she was diagnosed with peripheral neuropathy a few years ago, and did experience a great deal of pain in the legs and feet, but recently the right leg has been completely numb. The ultrasound and additional tests indicate the need for amputation of the right foot and 10 cm of the lower leg above the superior aspect of the lateral malleolus. The client undergoes a below-the-knee amputation (BKA) and returns to the unit with the stump wrapped in surgical pressure dressings. When the nurse takes the client’s vital signs, the client states, “I thought the surgeon was going to remove part of my leg and foot, but I can still feel them.” The nurse gently pulls the linens down and shows the client that the surgery was performed as planned. The client looked at the nurse in shock and said, “What is going on? | can still feel my foot, and it feels like it is burning!” The provider has prescribed a change to the client’s insulin regimen to insulin glargine 10 units subcutaneous once daily. The nurse prepares the client to be discharged tomorrow. The client will be transferred to a rehabilitation facility to continue healing and learning to walk with a prosthesis.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."