Reference no: EM134040449

Question

CASE STUDY: The Patient with Diabetes Mellitus

The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mellitus. Her daughter accompanies her and tells the staff that her mother has had the "flu" and has been unable to eat or drink very much. The daughter is uncertain whether her mother has taken her insulin in the past 24 hours. The patient's vital signs are temperature 101.8° F; pulse 120, weak and irregular; respiration 22, deep, and fruity odor; and blood pressure 80/42 mm Hg. Blood specimens and arterial blood gases are drawn and an IV infusion begun. The patient is placed on continuous cardiac monitoring. The patient eventually becomes normoglycemic, regains consciousness, and begins a 1500-calorie diabetic diet. Before this emergency, this patient had been monitoring urine glucose and ketones for self-care and insulin administration. Her physician prescribes blood glucose monitoring instead of urine testing. The patient is to be discharged on a mixed-dose regimen for insulin. She is to receive 10 units regular insulin and 18 units NPH insulin before breakfast and another 5 units regular insulin and 12 units NPH at dinnertime.

1. For the patient in the Case Study, list two (2) priority Nursing Diagnoses and your rationale for selecting each diagnosis.
2. For the Nursing Diagnosis: Deficient Knowledge, list two assessments and the Rationale for each assessment.
3. For the Nursing Diagnosis: Deficient Knowledge, list two (2) important patient teachings and Rationale.
4. For the Nursing Diagnosis: Deficient Knowledge, list two Interventions (Actions) and the rationale for each intervention.