Comprehensive Nursing Assessment: A Case Study

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Comprehensive nursing assessment of the older adult includes a thorough review of past medical, surgical, and family histories. The nurse should ask a client about current medications, particularly diuretics, beta-blockers, anticonvulsants, antihypertensives, and steroids. Patients bringing in their prescription and over-the-counter (OTC) medications would help the nurse assess for potential problems related to drug interactions or for drugs that alter blood glucose levels. The nurse should determine the medication’s name, type, dose, and schedule; if possible, the nurse should try to observe medication administration. Self-care abilities or restrictions, self-monitoring of blood glucose levels, and any history of hypoglycemia or hyperglycemia

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