HESI CASE STUDY DIABETES TYPE 1 ANSWERS

She had a mild head injury six months before, with no further consequences. 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. Anya told her parents she has headaches and often feels dizzy. Which assessment findings are of concern to the nurse? Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis.

GPs in line for seniority pay windfall worth thousands of pounds Hundreds of GPs could be in line for thousands of pounds in extra seniority pay after Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagia , other symptoms of new-onset type 1 diabetes can less specific, such as nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups. Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining Which assessment findings are consistent with this diagnosis? Which immunizations should be administered? Anya told her parents she has headaches and often feels dizzy. 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.

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When providing care for Anya, which intervention has the highest priority? 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 srudy or eating out in the last three days.

Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagiaother symptoms of new-onset heai 1 diabetes can less specific, such as nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.

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hesi case study diabetes type 1 answers

Related Drug Categories Insulins. When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes? Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy. 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.

The girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once or twice.

The precise reason for the likely autoimmune triggered condition is still in amswers unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein.

She was apyrexial, the abdomen felt soft and did not reveal any specific tenderness, guarding or rebound, and the bowel sounds were normal. Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis.

hesi case study diabetes type 1 answers

If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. Management of care is a collaboration between members of an interdisciplinary team.

Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority? There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference.

She had a mild head injury six months before, with no further consequences.

Case study: Type 1 diabetes in a child

There is a destruction of pancreatic cells, which causes a decrease in insulin production. It could have been tempting to defer this presentation as simple, common, minor illness, but the persistence of the mother revealed the serious underlying problem. Which assessment findings are consistent with this diagnosis?

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Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining An apparently minor illness had a serious cause. What nursing action provides the most complete health profile for this family? Which insulin regimen would Anya use at bedtime? Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, such as cerebral or pulmonary oedema. When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis?

Parents confess they are uncomfortable given the injections for fear of harming Anya. What is the most appropriate answer from the nurse?

Hesi Case Study Gestational Diabetes Answers

What is the best explanation by the nurse? According to Erickson, in what stage of development is 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.

Home News Education Practice About. Based on these complaints, what nursing diagnosis has the highest priority? Type 1 diabetes is one of the most common chronic diseases in childhood and caused by insulin deficiency. What can primary care networks learn from past service reorganisations?

hesi case study diabetes type 1 answers

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.

Which assessment findings are of concern to the nurse?