Exhibits

Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

A. Hydrocortisone: In Addison's disease, there is adrenal insufficiency leading to decreased cortisol production. During times of stress or illness, such as in this case of an acute viral infection, cortisol replacement therapy (such as hydrocortisone) is crucial to supplement the deficient endogenous cortisol production. This helps to manage the client's weakened state and stabilize their condition.
B. Potassium chloride: While the client's potassium level is elevated, indicating hyperkalemia, administering potassium chloride intravenously would exacerbate the hyperkalemia and potentially lead to further complications, such as cardiac arrhythmias.
C. Regular insulin: Regular insulin is indicated for the treatment of hyperglycemia, but the client's glucose level is low, indicating hypoglycemia. Administering regular insulin in this scenario would further decrease the client's blood glucose level, worsening their condition.
D. Broad spectrum antibiotic: While an acute viral infection may predispose the client to secondary bacterial infections, there is no indication from the client's presentation or laboratory values suggesting a need for broad spectrum antibiotics at this time. The priority is addressing
the adrenal crisis and stabilizing the client's condition with appropriate cortisol replacement therapy.

A. Encourage three large meals a day. This may not be appropriate for the client's current dietary plan, especially after bariatric clinic involvement and dietitian consultations.
B. Start with room temperature water. While hydration is important, this advice is too vague and does not consider the client's specific nutritional needs or restrictions.
C. Anticipate weight loss will continue even with normal diet. Weight loss should be monitored and managed carefully, especially after bariatric treatment; it should not be assumed to continue without ongoing effort and adherence to a dietary plan.
D. Walk frequently during recovery. Encourage the client to continue with regular, gentle walks as tolerated to promote circulation and weight management, which is consistent with the client's recent weight loss through walking.
E. Expect immediate return of ovulation. There is no information provided that correlates the client's medical condition with ovulation status.
F. Begin taking supplements per the healthcare provider's orders. If the healthcare provider has recommended supplements, ensure the client understands the importance of taking them as directed to support overall health.
G. Advance diet from clear liquids to full liquid. As the client recovers, it's important to gradually reintroduce different types of food, starting with clear liquids and moving to full liquids as tolerated before progressing to solid foods.
H. Dietician appointments are optional. Given the client's history with weight management and engagement with a bariatric clinic, continued dietitian support is likely crucial for sustained success.