A nurse is preparing care for a newly admitted client with diabetic mellitus. Which information would be critical for the nurse to assess?
1. Medical history
2. Current lab results
3. Medication allergies
4. Use of dietary supplements
5. Number of previous hospitalizations
Correct Answer: 1,2,3,4
Rationale 1: Medical history may reveal conditions that contraindicate the use of certain drugs.
Rationale 2: Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs.
Rationale 3: Allergies to one drug may cross over to another drug and would need to be avoided.
Rationale 4: Some dietary supplements can interact with drugs.
Rationale 5: While this is good information, it is not critical to this admission.
Global Rationale: Medical history may reveal conditions that contraindicate the use of certain drugs. Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs. Allergies to one drug may cross over to another drug and would need to be avoided. Some dietary supplements can interact with drugs. While the number of previous hospitalizations is good information, it is not critical to this admission.
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