Reference no: EM133364553
Assignment:
Case Study
Mr. Jenaro is a 61-year-old Spanish-speaking man who presents to the emergency room with his wife Dolores. Mrs. Jenaro is also Spanish speaking, but understands some English. Mr. Jenaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin (Novolin R) is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes.
Mr. Jenaro is newly diagnosed with diabetes. His hemoglobin A1C is 10.3%. Mr. Jenaro is slightly overweight. He is 5 feet 10 inches tall and weighs 174 pounds (79 kg). He reports no form of regular exercise. He does not follow a special diet at home. He states, "I eat whatever Dolores puts in front of me. She is a good cook." For the past few months, Mrs. Jenaro has noticed that her husband "has been very thirsty and has been up and down to the bathroom a hundred times a day." Neither can recall how long it has been since these changes in Mr. Jenaro began. Dolores states, "It has been quite a while now. It just seems to be getting worse and worse."
1. Explain what a hemoglobin A1C (HbA1C) lab test tells the health care provider.
2. How might the nurse briefly explain what diabetes is in lay terms to Mr. and Mrs. Jenaro?
3. Explain the difference between type 1 diabetes and type 2 diabetes and who is at increased risk for developing each type. Based on this understanding, which type of diabetes does Mr. Jenaro have?
4. Discuss the prevalence of diabetes and the potential long-term complications of diabetes.
5. List three nursing diagnoses appropriate to consider for Mr. Jenaro.
6. Discuss the dietary recommendations for a diabetic based on the Diabetes Food Pyramid.
- List three medication Mr. Jenaro that he might be prescribed. Please indicate reason, action, side effect ad nursing consideration.
- List lab that Mr. Jenaro may need to be monitored.