solved

Question
Answered step-by-step
Asked by LieutenantHummingbirdPerson495

 

 

Case 

 an 8-year-old male coming into the nursing office by his Phys Ed teaching with complaints of profuse sweating, confusion and  currently afebrile.

 

Objectives. (More or less are possible)

Recognizing signs of hypoglycemia
Differentiate between hypo- and hyperglycemia
Initiates treatment plan for abnormal blood sugars
Evaluating effectiveness of treatment plan

 

Description of Client

Age:   

8 years

Gender

male

Medical diagnosis or chief concern

Abnormal blood sugars

 

Care Setting (More than one are possible)

Emergency Department

Medical-Surgical Unit

Pediatric Unit

Maternity Unit

Behavioral Health Unit

Intensive care unit

Post-anesthesia Care Unit

Skilled-care Facility

Home 

Outpatient Clinic

Other setting: school

Others present:

 

History of chief concern/current condition/problem 

Symptom: sweating and confusion

Onset: 30 minutes ago

Treatments tried (if applicable): drank water and sat down

 

Other history as indicated

Allergies: NKA

Weight/BMI (If applicable): 23 kg

Medical diagnosis/surgeries/psychosocial: Type I DM diagnosed 1 year ago, no further past medical history, no surgical history

Medications: Novolog

Diagnostic tests: blood glucose POC, vital signs

 

Assessments

Important, abnormal, or relevant assessments

Normal or irrelevant assessments

Confusion

Sweating

Recent illness with “up and down” sugars

PMHx DM Type I

Afebrile

 

 

Solutions

Priority to address

Desired outcome

Confusion

Sweating

DM I history

Alert and oriented x3

Normal blood sugars

Actions/order indicated

Actions/order not indicated/contraindicated

Obtain blood sugar

Obtain full set of vital signs

Send back to gym class immediately

Increase insulin dose

 

Information Sources 

Phase Sheet

Nurses’ Notes

History and Physical

Admission Notes

Vital Signs

Medications

Orders

Intake and Output

Laboratory Report

Flowsheet  

Progress Notes

Diagnostic Report

Other:

 

What is most concerning finding?

 

 

What factors best explain client’s symptoms? Use specific pathophysiology.

 

What condition would most likely be expected?

 

 

What will happen if this condition is not treated?

 

What actions should the nurse take? 

 

Which actions are contraindicated?

 

How should the nurse provide the glucose and why?

 

When should the RN re-check the blood glucose?

 

Under which circumstances would EMS be activated?

 

 

 Who should the nurse notify?
SCIENCE
HEALTH SCIENCE
NURSING
NURSING NUR 416

 

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."