You are working with a patient who has type 2 DM. She wants to know why you are so concerned about her heart, her eyes, and her kidney function. How do you address her question?
Diabetes is a disease that affects the body’s ability to produce or use insulin effectively to control blood sugar levels.Excess of glucose in the blood for a long time can cause damage in many parts of the body. Diabetes can damage the heart, kidneys and blood vessels. It damages small blood vessels in the eye as well.
You are working with a patient who has type 2 DM. She wants to know why...
The family comments that the patient who has a tracheotomy is coughing and wants to know what you can do about it. What will you tell the family?
Case Study: The nurse is assigned to care for Tina, a 14-year-old who has just received a kidney transplant. She was fortunate to have received the kidney very quickly; she was not on the transplant list long. Tina's grandmother, who is her guardian, states that she is concerned about taking Tina home because of all of the medications Tina will be taking. Tina tells the nurse, “The other nurses keep trying to teach me about this medication called cyclosporine. My...
7. You are working with a low-income mother who has chosen not to breast-feed. She is concerned about the high cost of infant formula and would like to feed her infant cow's milk because it is cheaper. What would you tell her?
Diagnosis: Uncontrolled Type II DM, HTN, and urinary incontinence Hmong postmenopausal woman presenting with Type II diabetes mellitus, hypertension, and urinary incontinence. She reports that she often cannot get to the bathroom in time when she feels the urge to urinate. She also wets herself when she laughs or sneezes. She is very embarrassed about this problem and has decreased her excursions from the house because of it. She drinks six cups of coffee a day. She does not follow...
Ms. Spinosa hears that you are a student. She assumes that you know the answer to almost any pathophysiology question. She is concerned because her husband is newly diagnosed with type 2 diabetes. She has a sister who has had type 1 diabetes since she was 3 years old. She asks you to explain the differences in the cause between type 1 diabetes mellitus and type 2 diabetes mellitus.
Coordination of Care The patient is a 32-year-old Hispanic nurse from your unit who is admitted for surgery to repair a fractured wrist sustained in a fall while she was working at the hospital. She divorced her first husband, who was unfaithful to her, after 5 years. She recently remarried and is hoping to st family in the near future. She tells you she has symptoms of a vaginal yeast infection and complains that this is her sixth yeast infection...
Coordination of Care The patient is a 32-year-old Hispanic nurse from your unit who is admitted for surgery to repair a fractured wrist sustained in a fall while she was working at the hospital. She divorced her first husband, who was unfaithful to her, after 5 years. She recently remarried and is hoping to start a family in the near future. She tells you she has symptoms of a vaginal yeast infection and complains that this is her sixth yeast...
The patient is a 52-year old perimenopausal woman who reports a small loss of urine with coughing, laughing, and occasionally bending over. Recently she has started to leak urine just as she arrives in the bathroom but before she sits on the toilet. She stated her mother has had a continuing problem with incontinence for years and seldom leaves her home. The patient wants to continue to lead an active lifestyle and wants to discuss options for preventing progression of...
Ms. A, a 42-year-old patient who lives alone, recently was diagnosed with myasthenia gravis. She tells you that she will be going home soon and that she is very worried about having to manage her disease. She asks you the following questions. What are your best responses to these questions? 1. “What medications will I have to take?” 2. “When will I be able to stop taking all these pills?” 3. “I’m concerned that they don’t know how much medication...
You work in the diabetes mellitus (DM) center at a large teaching hospital. The first patient you meet is K.W., a 25-year-old Hispanic woman, who was just released from the hospital 2 days ago after being diagnosed with type I DM. Nine days ago K.W. went to see the physician after a 1-month history of frequent urination, thirst, severe fatigue, blurred vision and some burning and tingling in her feet. She attributed those symptoms to working long hours at the computer....