Mr. Lewis, а 69-yeаr-оld mаle arrives tо the emergency department with his wife, whо reports he suddenly became confused, had slurred speech, and appeared weak while sitting at the table approximately 30 minutes ago. History: • Type 2 Diabetes • Hypothyroidism • Hypertension • Hyperlipidemia • Coronary artery disease Initial Assessment Findings: • Slurred speech • Right-sided weakness • Confusion • Diaphoretic • Tremors • Pale appearance • Eyes open to voice • Inappropriate words • Withdraws from pain Admission Vital Signs: • Blood pressure: 185/90 • Heart rate: 108 • Respiratory rate: 22 • Temperature: 98.1 • Oxygen saturation: 96% on room air Laboratory Results: • Hemoglobin: 9.1 g/dL (12-16 g/dL) • Glucose: 48 mg/dL Two hours later, Mr. Lewis reports increased thirst, fatigue, and blurred vision. The nurse assesses Mr. Lewis. Which assessment finding is most concerning and requires intervention?
Mr. Lewis, а 69-yeаr-оld mаle arrives tо the emergency department with his wife, whо reports he suddenly became confused, had slurred speech, and appeared weak while sitting at the table approximately 30 minutes ago. History: • Type 2 Diabetes • Hypothyroidism • Hypertension • Hyperlipidemia • Coronary artery disease Initial Assessment Findings: • Slurred speech • Right-sided weakness • Confusion • Diaphoretic • Tremors • Pale appearance • Eyes open to voice • Inappropriate words • Withdraws from pain Admission Vital Signs: • Blood pressure: 185/90 • Heart rate: 108 • Respiratory rate: 22 • Temperature: 98.1 • Oxygen saturation: 96% on room air Laboratory Results: • Hemoglobin: 9.1 g/dL (12-16 g/dL) • Glucose: 48 mg/dL The nurse is preparing the patient for discharge. Which teaching is most important to prevent future episodes?