questions: 1.a 20 yrs old female complain of dizzines naisea/vomiting and cut loss for month patient has a family Hx of dm(diabetes mellitus). a.whatcouldbe your primary diagnosis for the patient? b.as a nurse what is your dietary advise? c.nurse teaching you should give this patient? d.treatment consideration? 2.a 10 yrs old female complained of anterior neck mass, with easy patigability with loss, lab.work up, increase T3,T4,TSH enlarged thyroid.
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1. Oh my God. 20 years old. Too young. She must have consumed a lot of glucose during her childhood. Ok, the nursing diagnoses for this one is as follows; a> 1. Body image disturbed r/t gangrenous left foot(if there's any) 2. Hyperthermia r/t dehydration 3.Ineffective Therapeutic management r/t health beliefs Actually, there are a lot of NDx for this case. I wont tell you the primary NDx. The primary NDx for this should focus on the Diet plan, the management of the treatment, hygiene. Go figure that out. b.> Dietary advise? Ofcourse, less carbs like rice. Why? carbohydrates' end product is glucose. Protein should be taken 15-20% of kcal intake. Fats should be "low" in saturated fats. Fiber is good for DM. Sodium's recommended daily intake is 1000mg per 1000kcal, not to exceed 3000mg. To make the long story short: - moderately low carb intake - less salt intake(sodium) - less protein - Limit fat intake - Gradual increase in Fiber - Some suggest the use of Artificial Sweeteners, but for me it's a no no. Considering it could contain Aspartame, which have been found out to complicate DM. - NO ALCOHOL and SMOKING, please. c.> Again, proper diet, foot care, hygiene, proper diet, treatment management(insulin) d.> treatment considerations.this topic is too long, research on this one. 2. Did you mean easy fatiguability? question number two is incomplete and not constructed as it should be. please re-construct and put the questions, because there are no questions to answer this one. Thanks.
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