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Nurses Notes: 58-year-old client diagnosed with severe systemic lupus erythematosus. Three weeks ago she began to take prednisone 20 mg po q am and 10 mg po q pm to control flare up. Clinic appointment today: client states, “I feel worse than I did before I started taking prednisone. I have to urinate all the time. I’ve gained 10 pounds and I can’t sleep. I didn’t take the prednisone this morning and I’m not going to take it anymore.” Vital Signs: Laboratory Results: Q1: Highlight the assessment findings which place the client at highest risk for injury. Fasting Blood Glucose 180 mg/dL (9.98 mmol/L) Na 146 mEq/L (146 mmol/L) K 2.8 mEq/L (2.8 mmol/L) Cl 102 mEq/L (102 mmol/L) Cr Creatinine 0.8 mg/dL (70.74 µmol/L) BUN 6 mg/dL (2.14 mmol/L)
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HEALTH SCIENCE
NURSING

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