Question

I. Read Chapters 46 and 47 from your Textbook

II. NCLEX REview Questions Chapters 46 and 47 from Evolve Resources

III. Type 1 Diabetes Mellitus

Susan is an 8-year-old girl who has been brought to her pediatrician by her mother for a weight loss of 5 pounds over the past 2 months, despite an increased food intake.

Subjective Data

Susan complains of thirst, hunger, and frequent voiding.

Objective Data

Today’s weight: 25 kg

Weight from a physical examination 6 months ago: 27.3 kg

Finger stick glucose: 325

Hemoglobin A1c: 9.1

Urinalysis: glycosuria

pH: 7.34

Father was diagnosed with type 1 diabetes at age 8 years.

Questions:

Will Susan require hospitalization?

Susan plays after-school sports; will she have to stop these activities?

What actions should the nurse take in this situation? Prioritize the actions.

Answer 1

Will Susan require hospitalization?

There is a need of hospitalization as the Finger stick glucose is 325, which is much higher.

Susan plays after-school sports; will she have to stop these activities?

Participating in regular physical activity is a must for individuals with diabetes. So there is no need of stopping after-school sports.

What actions should the nurse take in this situation? Prioritize the actions.

• Check for dehydration, acidosis and mental status as Diabetes Ketoacidosis is the complication.
• Strict Nil Per Oral
• Administer IV fluids