[Answered]: A nurse in a medical clinic is caring for a…

A nurse in a medical clinic is caring for a client who has come in for their annual check-up. Physical Examination Diagnostic Results BMI = 19 Client reports they started following a strict vegan diet one month ago. Hand grasps strong and equal bilaterally. Breath sounds clear and present throughout. Apical heart rate is regular and strong. Abdomen is flat and soft. Bowel sounds are present. Skin warm and dry, buccal mucosa pink, skin color is consistent with the client’s genetic background. 6 months after annual visit: Client made appointment today due to experiencing paresthesia of fingers and toes, muscle weakness, and fatigue. BMI = 18 Breath sounds clear and present throughout. Apical heart rate is strong, regular, and slightly tachycardic. No murmurs are auscultated. Skin cool, buccal mucosa pale, nailbeds are pale for the client’s genetic background, tongue appears red and smooth.