Select the correct answer: A 55-year-old post-menopausal ad…
Select the correct answer: A 55-year-old post-menopausal adult with type 2 diabetes presents to an urgent care center with a report an acute onset of severe abdominal pain accompanied by nausea and vomiting. Home remedies have not been effective in controlling symptoms. Morning blood glucose was 176 mg/dL.; Last A1c in clinic was 6.9% Current medications are: Metformin 1000 mg/dL Trulicity (dulaglutide; weekly) Vitals: B/P 118/70; pulse 112; resp 22; temp 99.6; pain level 9/10 BMI 32.5 Physical exam shows patient who appears to be in acute distress and is guarding the abdomen. Cardiac and pulmonary exams are normal. Abdomen is firm and extremely tender to palpation. Which of the following interventions should be incorporated into the initial clinical plan for this patient?