Directions: a) Read the case study; b) research diagnosed disease: Diabetes Type 1. (Use American Diabetes Association, CDC, or Mayo Clinic) & answer the following questions:
Miss Jones is a 16-year-old female who was brought to the Emergency Department (ED), after collapsing at school. She is currently alert & oriented, but pale and weak. A blood glucose performed by the paramedics read “High/Max.”
- What additional assessment should be performed at this time?
a)
b) - What history question would you like to ask of the patient and/or her parents?
a)
b)
c)
d)
e) - What additionally diagnostic tests should be run for Miss Jones?
a)
b)
c)
d)
e)
A serum glucose level shows that Miss Jones’ is 535 mg/dl and her urine was positive for ketones. The provider states that Miss Jones is most likely diabetic. Her parents are shocked as she has been a healthy and athletic child. The parents ask the nurse “How can she be diabetic when she is so skinny and exercises all the time” - What is an appropriate response by the nurse?
a)
b)- What treatment do you expect to be ordered for Miss Jones at this time?
a)
b)
c)
d)
Miss Jones is treated for ketoacidosis for the next two days and is feeling much better. The Diabetic Nurse comes to teach Miss Jones how to self-administer SubQ insulin, using the insulin pen. Miss Jones states “I can’t stand needles, isn’t there a pill I can tale instead?
- What treatment do you expect to be ordered for Miss Jones at this time?
- What is the most appropriate response by the nurse?
a) - What options does Miss Jones have for insulin administration?
a)
b)
c)
Miss Jones demonstrate proper technique for glucose monitoring and self-administration insulin with the insulin pen. Her blood glucose remain stable between 120 mg/dl to 180 mg/dl and the provider said that she can go home today. - In addition to the insulin education, she already received, what other education topics should be included in the discharge teaching? a)
b)
c)
d)
e)