Question

I need help with strategies techniques and approaches to critical thinking. 2-9 the patient with diabetes mellitus. what is the priority of the options and rationale Mrs. G, a 56-year-old Hispanic female, was admitted with the diagnosis of end-stage renal disease (ESRD) She takes isophane NPH insulin 25 units subcut qAM and isophane NPH insulin 15 units in the evening. The blood glucose fingersticks are ordered a.c. and 2100. She is scheduled to have hemodialysis this ANM Breakfast arrives at 0800.Mrs. G has a 30-year history of diabetes mellitus type 1. She has experienced neuropathy and visual changes·Vital signs this morning are: T 36°C, P 80, R 18, BP 154/92, pulse ox 94%, pain level O. BG was done and recorded. Mrs. G has a 2-cm dry, ulcerated circular area on the lateral outer aspect of her right great toe and an arteriovenous (AV) fistula in the right forearm. The AV fistula is patent with a strona thrill and bruit. The following nursing interventions are recommended: Check for the fingerstick blood glucose Check for the fingerstick blood glucose Administer isophane NPH insulin 25 units subcut Give patient breakfast Perform a body systems physical assessment

Answer 1

1. Perform body system assessment

Rationale : body system assessment is a first role of nurse before nay intervation,

It includes subjective and blood glucose

2. check for the fingerstick blood glucose

Rationale : checking blood glucose is essential, even it is considered as 6th vital sign.

So it is second priority

3. Administer isophane NPH insulin 25 units subcut.

Rationale : best time to administer NPH insulin is 15 minutes before breakfast.

This helps to regulate glucose metabolism.

4. Give breakfast

Rationale : after administration of NPH, patient should take breakfast. This can help to prevent hypoglycemia.