Reference no: EM133446257

Sue is a 24-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities.  

Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices the beginning of an infected toenail and is feeling very thirsty all the time and starts to drink more water.   

Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the lolly jar to satisfy some sweet cravings. She is so exhausted and feels that it is more than just from her busy workload with university studies and her part time job. As a result, she calls in sick to work because of her lethargy and her now very infected toenail. She makes a doctor's appointment to get a certificate and while she is there, the doctor assesses her BGL which is 19mmol/L. Her GP completes a set of vital signs: HR 124bpm, BP 98/56, RR 26, SpO2 100%, temp 37.2. Her GP instructs her to go to her local emergency department.

Sue weighs 62 kgs.

You are assigned to care for Sue. It is 11.45am and Sue is about to have lunch.

Please use all Australian Guidelines

prioritise nursing problems.

1. Hyperglycemia  

2. Dehydration 

Goals, Actions and Evaluation

For the nursing problem of highest importance:

• Establish goals for each nursing problem: using the SMART acronym
• List the related actions (minimum 6), in order of priority that you would undertake to achieve that goal.  Specify if the action is a dependant or independent nursing action. You must consider the holistic requirements of the patient.
• Provide a rationale that associates the pathophysiological and psychological principles with each selected nursing action. This section needs to be referenced.
• Describe how you would evaluate the effectiveness of the care provided (i.e. how will you know that your actions were beneficial to the patient?) This section needs to be referenced.