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- A patient has type 1 diabetes mellitus. What general guidelines must be met before this patient can receive insulin? What specific responsibilities does the nurse have when administering insulin, and who develops the standards of care that result in these guidelines?A 39-year-old construction worker who complains of decreased energy, impotence, and abdominal pain is being tested for Addison disease. What data should the nurse collect when obtaining the patient’s health history? What physiologic changes in the body result in the abnormal symptoms of Addison disease?S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 1.What is the recommended diagnostic test to diagnosis GERD? Why?
- For the following cases, what are the signs AND symptoms mentioned, whether the patient has them or not? A 35-year-old woman is seen for easy fatigue for many months. She is now 24 weeks pregnant with her 3rd child in 3 years. She does not see any obstetrician and does not take any vitamins. Lately, she has developed a taste for eating ice. She has no other complaint. Family and past history are negative. She does not smoke or drink. Physical examination is positive for pale conjunctiva, mild spooning of nails, and an II/VI systolic murmur at left lower sternal border. Stools are negative for occult blood.The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What criteria will the nurse use to select printed educational materials for the clients use?The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What data will the nurse gather to evaluate the effects of the ordered medications?
- The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What are two important medication administration safety issues that the nurse will assess in the client?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 concerns do you have with the propranolol?Which of the following medications may cause hypoglycemia when is use as monotherapy? (select all that apply) Insulin Rosiglitazone Glipizide Metformin exenatide
- Patient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. Explain the difference between diabetes insipidusand diabetes mellitus (I swear, if you write "The name", so help me...). This answer should address the cause for these two diagnoses and what organs or organ systems are at fault, or would be investigated for this disease.Mary is a 57 years of age female, who was recently diagnosed with high cholesterol after some routine bloodwork. She has diabetes mellitus Type II poorly controlled and a history of hypertension poorly controlled. Mary presented to the emergency department for epigastric discomfort described as an “ache” that has been intermittent for a couple of days. Mary has been a smoker, about 10-15 cigarettes per day for 30 years. She has been overweight most of her life and doesn’t exercise. Vital signs are T36.8 HR 172 RR 26 BP 94/52 SpO2 92% on room air. The point of care blood sugar is 16.4 mmol/L. Color is pale, diaphoretic, increased work of breathing with tachypnea. You start the cardiac monitor and observe the following rhythm. 6-sec rhythmHypertension is common and most often presents as an independent medical condition. Occasionally, hypertension is a result of an underlying illness and requires different treatment. Because adrenal function is critical for (1) blood pressure, (2) potassium, and (3) glucose homeostasis, an adrenal etiology should be considered in all patients with blood pressure problems accompanied by electrolyte abnormalities, unexplained change in weight, failure to thrive, inappropriate virilization, and anxiety periods. Eight different clinical scenarios are presented below. Each presentation is associated with a different diagnosis and treatment. A discussion of adrenal causes, diagnoses, and treatments for each is found within the chapter. Each numbered case study completes the following opening statement: A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, with weakness and rapid onset of obesity. This patient also…
