What is the most appropriate answer from the nurse? It was only at this point the mother mentioned her worry about possible diabetes. However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful. The child was apparently sick once more during this time but, once seen, looked well, smiled and did not appear clinically dehydrated or in distress. What nursing action provides the most complete health profile for this family?
Which insulin regimen would Anya use at bedtime? Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis. It was only at this point the mother mentioned her worry about possible diabetes. What is the best explanation by the nurse? Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, such as cerebral or pulmonary oedema. Anya told her parents she has headaches and often feels dizzy.
Which immunizations should be administered? Related Drug Categories Insulins. The insulin therapy protocol used with Anya consists of three insulin injections a day. Parents confess they are uncomfortable given the answera for fear of harming Anya.
There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or amswers behaviour, or dysuria, and some simple painkillers had made very little difference. When providing care for Anya, which intervention has the highest priority? The diagnosis of type 1 diabetes in children can become obvious by a positive dipstick test — although some sticks may not show glucose reliably in the presence of significant ketones.
Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagiaother symptoms of new-onset type 1 diabetes can less specific, such as nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
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The mother was aware that the child would need to be seen as an extra at the end of surgery, but preferred this over telephone advice or a possible review at the out-of-hours service later in the evening, if the symptoms were to persist or worsen. However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful.
There was little medical history – the child was born at term, developed well, was up to date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
The girl had managed to spend the day in school but seemed to have tsudy since coming home and had been sick once or twice. Which insulin regimen would Anya use at bedtime?
Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority? The nurse must aim her teaching towards Anya and her parents. Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy. Which assessment findings are consistent with this diagnosis?
According to Erickson, in what stage of development is Anya? The answrrs was apparently sick once more during this time but, once seen, looked well, smiled and did not appear clinically dehydrated or in distress.
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What is the best explanation by the nurse? To elicit this information, what is the most appropriate action by the nurse? Have you registered with us yet? If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. What is the most appropriate answer from the nurse? What nursing action provides the most complete health profile for this family?
What approach to care is the most indicative to Anya and sthdy parents? Type 1 diabetes is one of the most common chronic diseases in childhood and caused by insulin deficiency. Even though some children may still look surprisingly well for the initial period, due to the polyuria and likely noctural enuresis caused by hyperglycaemia, they can be significantly dehydrated by several litres at this point.
She had a mild head injury six months before, with no further consequences. There was no current medication or allergy history.
An apparently minor illness had a serious cause. Cae mother and the girl had to wait about 40 minutes in the waiting area before they could come in. The girl’s seven-year-old cousin, who had recently been diagnosed with diabetes, had been unusually thirsty, and the mother also observed this in her own child in the past few days.
When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes? Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining