Question

what is the clinical significance to the present problems

History of Present Problem: Jessica is a 16-year-old high school student who lives with her parents and younger brother Jonathan (11 years old) in a middle-class neighborhood. Both Mr. and Mrs. Morris work in the community where they live. Jessica has had diabetes mellitus type 1 insulin- dependent diabetes mellitus [IDDM]) since the age of 7, which has been well controlled with morning and evening injections of NPH Humulin insulin, diet, and exercise. Jessica has been staying up later in the evenings studying for her end-of-year exams, and is the pitcher on her school's softball team, which is playing in the semifinals. Her heavy schedule has contributed to changes in her eating and sleeping habits. Jessica developed a cough, nasal congestion, and a low-grade temperature 3 days ago, but told her parents she felt well enough to go to school and didn't want to miss any of her classes or softball practice. Today Jessica felt worse, so her mother called Jessica's pediatrician, Dr. Sheila Jones, who told Mrs. Morris to bring Jessica into her office. What data from the PRESENT PROBLEM are RELEVANT and must be interpreted as clinically significant by the nurse? RELEVANT Data from Present Problem: Clinical Significance: Type 1 insulin dependent diabetes mellitus Change in eating and sleeping habits Cough Nasal congestion Low grade temperature

Answer 1

Ans

Change in the sleep and eating habbit and daily game lead to disturbance in the blood sugar level maintaince that lead to the infection .

Nasal congestion and low grade fever indicate that there is an infection in body

High blood sugar is the predispositing feature for the infection aur we say high blood sugar is more prone to infection