However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful. What nursing intervention has the highest priority at this time? Parents confess they are uncomfortable given the injections for fear of harming Anya. Even though some children may still look surprisingly well for the initial period, due to the polyuria and likely noctural enuresis caused by hyperglycaemia, they can be significantly dehydrated by several litres at this point. What can primary care networks learn from past service reorganisations? To elicit this information, what is the most appropriate action by the nurse?
She had a mild head injury six months before, with no further consequences. Which immunizations should be administered? Anya told her parents she has headaches and often feels dizzy. What is the best explanation by the nurse? Type 1 diabetes is one of the most common chronic diseases in childhood and caused by insulin deficiency. What nursing action provides the most complete health profile for this family? The girl’s seven-year-old cousin, who had recently been diagnosed with diabetes, had been unusually thirsty, and the mother also observed this in her own child in the past few days.
What approach to care is the most indicative to Anya and her parents? Which insulin regimen would Anya use at bedtime? An apparently minor illness had a serious cause. Based on these complaints, tsudy nursing diagnosis has the highest priority? What can primary care networks learn from past service reorganisations?
Hesi Case Study Gestational Diabetes Answers
Dase was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference. The mother and the girl had to wait about 40 minutes in the waiting area before they could come in.
Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagiaother symptoms of new-onset type 1 diabetes can less specific, such as nausea or disbetes, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
The mother of a five-year old child called the surgery at 5pm with concerns about her daughter’s one-day history of abdominal discomfort, requesting a same day review. Related Drug Categories Insulins.
Hesi Case Study Gestational Diabetes Answers
Which assessment findings are of concern to the nurse? The girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once ahswers twice.
The insulin therapy protocol used with Anya consists of three insulin injections a day. According to Erickson, in what stage of development is Anya? When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis?
There is a destruction of pancreatic cells, which causes a decrease in insulin production. Home News Education Practice About. What elements are implemented by the interdisciplinary team? The girl’s seven-year-old cousin, who had recently been diagnosed with diabetes, had been unusually thirsty, and the mother also observed this in her own child in the past few days.
Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start answerd insulin replacement therapy. What is the best explanation by siabetes nurse? Parents confess they are uncomfortable given the injections for fear of harming Anya.
NCLEX-RN questions on diabetes 1 (practice) | Khan Academy
No other family member was currently unwell with any gastrointestinal conditions and there were no travels abroad recently, and no obvious unusual food intake such as a take-away or eating out in the last three days. Which assessment findings are consistent with this diagnosis?
There was little medical history – the child was born at term, developed well, was up to date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
What element is essential to consider when teaching to Anya?
Case study: Type 1 diabetes in a child
It was only at this point the mother mentioned her worry about possible diabetes. To elicit this information, what is the most appropriate action by the nurse? Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority?
What nursing action provides the most complete health profile for this family? The child was apparently sick once more during this time but, once seen, looked well, smiled and did not appear clinically dehydrated or in distress. When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes?
The precise reason for the likely autoimmune triggered condition is still in parts unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein. The majority of children appear to develop it under 12 years of age, but it may start in adults as well.
What nursing intervention has the highest priority at this time?