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[Verified Answer]: N.T., a 66-year-old retired registered nurse,

N.T., a 66-year-old retired registered nurse, is admitted to the ambulatory surgery center for a hysteroscopy and dilatation and curettage (D&C) to obtain uterine biopsies after episodes of post-menopausal bleeding. She is obese, has type 2 diabetes, hypertension, and a history of atrial fibrillation. She has been NPO since midnight and did not take her morning medications. It is now 1200. Physical Assessment Alert, cognitively intact, anxious, older woman. • Weight 205 lb, height 5 ft 2 in (BMI 37.5) • BP 180/94, pulse 84 and regular • Oxygen saturation 95% on room air • Medications: • Diltiazem 240 mg daily • Hydrochlorothiazide 25 mg daily • ASA 80 mg daily • Omeprazole 20 mg daily • Wears glasses. Has trouble seeing without them. Diagnostic Studies Complete blood count values within normal limits • Serum potassium 3.4, sodium 145, chem 12, PT, PTT, U/A, COVID test, MRSA swab • Admission serum blood glucose level 120 mg/dL (15.2 mmol/L), glycosylated hemoglobin (Hb A1C) 5% • Blood glucose level 120 mg/dL (11 mmol/L) • Serum creatinine 1.2 mg/dL (176 mmol/L) • Chest X-ray and ECG normal • Pulmonary function tests negative Recognize: What factors may influence N.T.’s response to hospitalization and surgery? Obesity and history of atrial fibrillation Age and cognitive status Living alone and herbal supplement use Medication regimen and comorbidities –

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