Formulate a Discharge Plan on a 3- year-old male child diagnosed with Diabetes Mellitus Type 1. his take-home instructions include administration of regular insulin ( 3 units before meals SC ) and monitoring of blood glucose 3x a day. the parents are anxious about the administration of insulin and don't know how they are going to manage their child at home. as the nurse in charge, what you should include in the discharge planning? make a list of the things you need to instruct the parents and how they should be done.
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- Formulate a Discharge Plan for a 3-year-old male child newly diagnosed with Diabetes Mellitus Type 1. Use the acronym METHODS (medication, exercise(activity /environment, treatment, health education, out-patient follow-up, diets, social/spiritual). His home medication is Regular Insulin 3 units SC TID 30 minutes before meals. The doctor also ordered monitoring of blood glucose TID before an insulin injection. The doctor advised them to return for a follow-up checkup after 2 weeks with the CBG monitoring log, and as needed. The parents are anxious about their child's condition and worried that they might not be able to take care of him. The mother asks for instruction on how to administer the insulin as this is the first time that they will do this. The mother verbalized concern that his child might need diet and activity restrictions. They have heard the word "hyperglycemia and hypoglycemia" from an adult neighbor and asks you if their child would also experience those episodes. The…A nurse for a client who is 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?A. The client has a fasting blood glucose of 90 mg/dlB. The client has nonpitting pedal edemaC. The client reports 12 fetal movements in 1hrD. The client has a fundal height of 38cm1 NICATIONS 6 Colaborate LJ eting 3 ce zing Tutoring al Office Hours d & iCAN Help Is https://bsuonline.blackboard.com/webapps/assessment/take/launch.jsp?course assessment_id= 179293_18course_id= ype here to search ✩ Question Completion Status: 3 b. 1921 by Banting and Best QUESTION 1 Insulin was discovered in what year and by whom? O a. 1953 by Roswell O c. 1945 by Henderson O d. none of the above QUESTION 2 QUESTION 3 4 O 19 What percentage of all cases of diabetes mellitus is accounted for by type II DM? O a. 10% Ob. 90-95% O c. 15% O d. 99% 100 C L 5 L 11 C 12 13 14 6 15 4+ 16 8 L 144 L
- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”Which patients would a nurse assess for menstrual cycleirregularities? Select all that apply.a. A patient who is breast-feedingb. A patient who is diagnosed with anorexiac. A patient who chooses to abstain from sexual intercoursed. A patient who has pelvic inflammatory diseasee. A patient who is obsessed with exercisingf. A patient who has a spinal cord injuryThe recommended dose for dilantin is 4-8 mg/kg/day q 12h. The child weighs 11 pounds. Order: Dilantin 15 mg p.o. q12 h. How much will the nurse administer?
- Matthew is a 59-year-old civil engineer diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 % Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is: Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg daily Coreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] daily Vitamin D3 10,000 IU daily; Lyrica 50 mg at HS His CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are…Matthew is a 59-year-old civil engineer diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 %Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is:Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg dailyCoreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] dailyVitamin D3 10,000 IU daily; Lyrica 50 mg at HSHis CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are normal. TC = 200…Matthew is a 59-year-old diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 % Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is: Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg daily Coreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] daily Vitamin D3 10,000 IU daily; Lyrica 50 mg at HS His CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are normal. TC = 200…
- A 48-year old female presents to her physician with concern of worsening fatigue over thepast months.She reports feeling tired out all the time and unable to concentrate. Nothing seems tomake it better, not even rest. She has not seen a physician in a number of years otherthan for routine OB/gyn care and reports having gradually put on 40-50 lbs. over thepast 10 years. (Current weight 253; height 65.5 inches)She undergoes an oral glucose tolerance test and based on that data (and otherlaboratory values) she is diagnosed with type 2 diabetes. Further testing shows she is alsohypertensive and has hyperlipidemia.What isthe metabolic connection between type 2 diabetes and hyperlipidemia? Be specific inyour discussion and include relevant enzymesrelated to lipid metabolism. Circulating levels of which lipoproteins would be consistent with a diagnosis of hyperlipidemia?Be specific and include rationalesfor why some lipoproteins may be elevated and others not. This individual is prescribed…Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? (SELECT ALL THAT APPLIES) a. Diabetes ketoacidosis is a common complication during the first trimester. b. Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations c. Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia. d. The risk of fetal chromosomal abnormalities is increased.The nurse is educating a clent admited with mild scoliosis. Which of the following statements are appropriate when educating this cient? (Select all that apply) Currently Selected: A A can provide you with some informaton about support groups in the area for those with scoliosis" B Use buproten when needed for pain C s mportart to une the brace 1223 hours a dey D Twodto ow you some breathing exercises that may be helphul for you E Mea ow up appontment in 18 months