What can primary care networks learn from past service reorganisations? An apparently minor illness had a serious cause. 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 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. 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. The insulin therapy protocol used with Anya consists of three insulin injections a day. There was no current medication or allergy history.
Which assessment findings are of concern to the nurse? An apparently minor illness had a serious cause. 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. Which immunizations should be administered? Which assessment findings are consistent with this diagnosis?
When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis? 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.
It was only at this point the mother mentioned her worry about possible diabetes. The mother was aware that the child would need to be seen as an extra at the end of surgery, but preferred this over telephone advice or a possible review at the out-of-hours service later in the evening, caes the symptoms were to persist or worsen.
What element is essential to consider when teaching to Anya? Which assessment findings are of concern to the nurse?
HESI case study – Pediatrics – Diabetes Type I (Anya)
When providing care for Anya, which intervention has the highest priority? 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 diabtes in the past few days.
What is the best explanation by the nurse? The nurse must aim her teaching towards Anya and her parents. What approach tjpe care is the most indicative to Anya and her parents? Based on these complaints, what nursing diagnosis has the highest priority?
She had a mild head injury six months before, with no further consequences.
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. Which insulin regimen would Anya use at bedtime?
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. 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. Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority?
There is a destruction of pancreatic cells, which causes a decrease in insulin production. What is the most appropriate answer from the nurse? Register now anssers enjoy more articles and free email bulletins Register Already registered?
Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers stuvy how to stop punitive pensions taxes undermining Which assessment findings are consistent with this diagnosis? Anseers could have been tempting to defer this presentation as simple, common, minor illness, but the persistence of the mother revealed the serious underlying problem.
The child was apparently sick once more during this time but, czse seen, looked well, smiled and did not appear clinically dehydrated or in distress. Have you registered with us yet? 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 fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
What can primary care networks learn from past service reorganisations? If a finger-prick test yesi capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. What nursing action provides the most complete health profile for this family?
Hesi Case Study Gestational Diabetes Answers
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 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. 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 nursing intervention has the highest priority at this time? Type 1 diabetes is one of the most common chronic diseases in childhood and caused by insulin deficiency.