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emia. leston Client History: Q3: 12-year-old male student. Diagnosed with type 1 diabetes mellitus at age 6. In past year has been admitted twice to The client is at greatest risk for [Choose hospital with ketoacidosis. Self-manages diet and insulin. one: Insufficient nutrition/Disturbed Parents interested in learning, but have difficulty understanding body image/Ketoacidosis/Concussion] as the diet and insulin protocols. Has good grades, but did get in a evidenced by the client’s [Choose one: fight after school last year. Had concussion at age 8 while BMI/Blood glucose level/HgbAIC playing in school. HgbAIC 6.7% two months ago. percentage/Concussion history]. Medical Orders: Regular insulin: 1 unit per 30 grams carbohydrate to be eaten. Insulin glargine: 10 units at bedtime. School Nurse’s Notes: 1030: Reports upset stomach, being tired, and thirsty. Thinks he self-administered insulin but is unsure. Student is sure that he self-administered insulin glargine at 2100 last night. Reports eating a large bagel with butter at 0730 (1 bagel is 60 grams carbohydrate). Assessments: T 98.8.F (37.1.C), HR 110, BP 98/58, RR 24. Blood glucose 300 mg/dL (16.7 mmol/L). Lungs clear. Height 60 inches (154 cm), Weight 95 lb (43.2 kg). BMI 18.1. Skin dry with good turgor. Urinated 60 ml amber-colored urine. hs

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