Reference no: EM133845147
Question
Diabetes Insipidus (Ch. 62)
Ed is a 17-year-old football player who experienced a head injury while playing football. Ed was diagnosed with traumatic brain injury (TBI) and is currently undergoing TBI rehabilitation.
What signs and symptoms would alert the nurse to the possible post-trauma complication of diabetes insipidus (DI)?
What laboratory findings are consistent with DI? Explain your answer.
The primary care provider has prescribed desmopressin, 10 mcg nasally every 8-12 hours.
What teaching points should the nurse provide to Ed regarding nasal inhalation of desmopressin?
Hypothyroidism (Ch. 63)
Genevieve is a 45-year-old woman with three children who works part time and has recently returned to nursing school. She has sought care from her primary care provider. While taking a health history, Genevieve tells the nurse that she has noticed that she is feeling very tired, is cold all of the time, and has gained 15 pounds without a change in eating habits.
What other symptoms could accompany hypothyroidism?
Differentiate between hypothyroidism and hyperthyroidism. Discuss the clinical manifestation of hyperthyroidism.
Genevieve's provider performs an assessment, noting that she has cool skin, brittle nails, coarse and dry hair, slight abdominal distension, and poor wound healing on an older cut. The provider orders laboratory work.
Which laboratory tests would assist in confirming a diagnosis of hypothyroidism? Explain the rationale for each laboratory test.
Genevieve is diagnosed with hypothyroidism, and placed on levothyroxine (Synthroid).
What priority concerns should the nurse identify?
Discuss the patient teachings for this medication. Be specific.
Diabetes Mellitus (Ch. 64)
Ms. Jackson is a 51-year-old African-American patient who has recently been diagnosed with type 2 diabetes mellitus. While the nurse is providing patient teaching about foot care, Ms. Jackson questions why she should be concerned about her feet, and how this relates to type 2 diabetes mellitus.
Differentiate between Type 1 and Type 2 diabetes mellitus.
Discuss the clinical manifestations for diabetes mellitus.
What point should the nurse focus on regarding the importance of foot care for patients with type 2 diabetes mellitus?
The nurse continues patient teaching regarding complications that can arise as a result of uncontrolled hyperglycemia.
What complications of Type 2 diabetes should the nurse discuss with Ms. Jackson. Also, include the follow - up/routine care for each complication. Be specific.
After 6 months, Ms. Jackson has routine laboratory testing performed. Her glycosylated hemoglobin A1c (HbA1c) is 6.0%.
What implications does this result have, and what further teaching by the nurse is appropriate? Explain your answer.