You are completing your PEP (Professional Experience Placement) hours for NUR353 in the emergency room. This is your second shift in this department. You have received a new patient. The patient has just arrived at the unit. Ron is a 56-year-old male with a history of type 1 diabetes mellitus (DM) and hypertension. Ron has recently returned from a trip to Thailand 3 days ago. He has had a fever for 3 days and is complaining of diarrhea with nausea and vomiting. He has not been able to eat and has tolerated only sips of fluid. Because he could not eat, he did not take his insulin.



Ron is unsteady and was brought to the examination room in a wheelchair. While helping him to the bed, you notice that his skin is warm and flushed, and his breath is fruity and sweet smelling. Ron is drowsy and unable to answer your questions. His wife tells you that he has complained of being thirsty but has not been able to keep any water down. As you get Ron settled, the nurse you work with has taken urgent bloods (Biochemistry and FBC) and sent to pathology.



Question: List the abnormal cues from the above scenario and Identify other questions you want to ask him or his wife?