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- 2. A 55-year-old male client admitted to the healthcare facility complains of excessive thirst, urination, hunger, and numbness and tingling in the extremities. His fasting plasma glucose levels obtained on two different occasions are 136 mg/dL and 145 mg/dL. A diagnosis of type 2 diabetes is made. a. What data would the nurse need to gather before preparing a dietary plan for this client?b. What instructions should the nurse provide to the client regarding dietary restrictions? 123. The wife of a 48-year-old diabetic client, who was discharged from the healthcare facility a week ago, calls the telehealth service. She sounds worried and says her husband has been showing strange symptoms, such as confusion, nervousness, and excessive hunger, for the past 2 days. He has also been complaining of blurred vision and dizziness. She tells the nurse that she had been administering insulin to her husband as directed by the healthcare provider but is not sure of the cause of his condition.a.…9 "A patient with type 1 diabetes has received diet instruction as part of the treatment plan. The nurse determines a need for additional instruction when the patient says,- JUSTIFY THE ANSWER. GIVE RATIO. A. "I may have an occasional alcoholic drink if I include it in my meal plan." B. "I will need a bedtime snack because I take an evening dose of NPH insulin." C. "I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia." D. "I may eat whatever I want, as long as I use enough insulin to cover the calories.”.1. What non- pharmacotheraples could be implemented in type 2 mellitus.2. If applicable , explain what diagnostics / labs one should consider when implementing new pharmacotherapies for a patient with type 2 diabetes.3. What are expected outcomes/ goals for this patient with type 2 diabetes.
- 2. Divide into three groups. Each group should take one of the following topics and prepare a comparative chart addressing the underlying pathophysiology, signs and symptoms, and care priorities: Hyperparathyroidism and hypoparathyroidism Type 1 and type 2 diabetes mellitus • Hyperglycemia and hypoglycemia Present the information to the rest of the class.An 85-year-old female with history of hypertension presented with cough and low-grade fever. Chest radiography is consistent with a diagnosis of pneumonia. The doctor ordered the antibiotic Levofloxacin 500 mg PO X 10 days. The patient's blood work came back, and basic metabolic panel showed potassium (K) of 5 mmol/L, sodium (NA) 140 mmol/L, glucose of 115, BUN of 19 mg/dl and creatinine of 1.2 mg/dl.Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?
- 4. Identify at least 3 of the most common complications related to type I diabetes mellitus and what nursing actions would you do to prevent or mitigate these complications COMPLICATIONS NURSING ACTION ng actions would you do to prevent or mitigate these complications.Physical Concerns Reason for the physical concern IS 1. Nausea and A. Increased prolactin levels for milk production vomiting B. relaxation of GI muscle tone due to elevated ERS 2. Heartburn progesterone level C. Increased appetite 4. physiologic anemia D. relaxation of cardiac sphincter or anxiety 5. Enhanced Appetite E. Secretion of nutrient into breastmilk 3. Increase BMR 6. Calcium F. This is due to increase in oxygen consumption Homeostasis related to increase cardiac output and due to 7. Constipation 8. Postpartum weight G. Circulating volume increase by 30-50%, Total increase oxygen needs of the placenta retention body water increases 9. Inadequate weight H. vomiting gain I. Energy intake more than the required 10. Excessive weight (there are only 9 choices) gainA nurse witnesses a street robbery and is assessing a 26-year-old female patient who is the victim. The patient has minor scrapes and bruises and tells the nurse, “I’ve never been soscared in my life.” What other symptoms would the nurseexpect to find related to the fight-or-flight response to stress?Select all that apply.a. Increased heart rateb. Decreased muscle strengthc. Increased mental alertnessd. Increased blood glucose levelse. Decreased cardiac outputf. Decreased peristalsis
- 3. Assessment NURSING? drug; mpg insulin 100 units per vial Dose orders; 10 units dose on hand; 100 units/ per vial. Give ( use insulin syringe) - _ units. If there is no insulin syringe, use 1 cc syringe. how many cc of insulin would you give.. ?3. Describe the diagnostic studies for type I diabetes mellitus. Diagnostic Test/Lab Rationale Results/Priority?The home care nurse is visiting a client who was recently disgnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse should reinforce which instructions to the client? Select al that apply. 1. Diarrhea can occur secondary to metformin. 2. The repaglinide is not taken if 2 meal is skipped. 3. The repagiinide is taken 30 minutes before eating. 4. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes. 5. Muscle pain is an expected side effect of metformin and may be treated with acetaminophen. 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repagiinide