WEEK 1 : endocrine ( nursing care plan for DM )

Question 1

what are the nursing diagnosis when it comes to a DM pt?

Answer 1

ineffective health management ( related to insufficient knowledge of therapeutic region evidence by diffuclty with prescribed regimen ad failure to include treatment in daily living )

Question 2

whats another nursing diasgnosis for DM

Answer 2

readiness for enhanced nutrtion as evidence by expressed desire to enhance nutrition

Question 3

risk for injury is a nurisng diagnosis when it comes to a dm pt?

Answer 3

yes this is true

Question 4

what else are dm pt in risk for ?

Answer 4

risk for peripheral neurovascular dysfunction ( this is related to the vascular effects of diabetes )

Question 5

dont answer just read : Teaching: Disease process
* Appraise the patient’s current level of
knowledge related to the specific disease
process to determine the scope and extent of
required teaching.

• Describe the disease process and therapy or
  treatment recommendations to enable the
  patient to better understand the rationale for
  the treatment regimen and lifestyle changes.
• Instruct the patient on measures to prevent or
  minimize symptoms to promote management of
  the disease.
• Discuss lifestyle changes that may be required
  to prevent future complications and control the
  disease process to encourage the patient to
  actively participate in determining changes that
  will be acceptable.
• Describe possible chronic complications as
  appropriate to increase awareness of the long-
  term effects of inadequate control of the disease
  process.
• Plan an individualized exercise program with
  the patient because exercise is an integral part
  of diabetes management.
• Review the steps to prevent hyperglycemia and
  hypoglycemia because activity changes can
  cause changes in insulin needs.
• Instruct the patient on which signs and
  symptoms to report to the health care provider
  to ensure prompt treatment.
• Review insulin administration (if used); have
  the patient give a return demonstration of
  insulin injection to ensure proper technique.
• Review the OHA regimen; have the patient
  explain the timing and purpose of medication to
  ensure understanding.
• Refer the patient to local community agencies
  or support groups to provide continuing support
  and education

Question 6

what are signs of hyperglycemia ?

Answer 6

polyuria, polydipsia, polyphagia, weakness, lethargy, malaise and blurring of vision

Question 7

teaching foot care is very important : how do we perform a cmprehensive assesment for neuropathy ?

Answer 7

using a 10 g monofilament or 128 hz tuning fork to establish baseline findings

Question 8

is this true or false when it comes to foot care?
Caution about potential sources of injury to the
feet (e.g., heat, cold, cutting corns or calluses,
chemicals, use of strong antiseptics or
astringents, use of adhesive tape, and going
barefoot or wearing thongs, open-toe shoes, or
ill-fitting shoes) to prevent injury to the feet.

Answer 8

true

Question 9

is this true or false? Maintain adequate hydration to decrease blood
viscosity

Answer 9

yes this is true when it comes to risk for peripheral neurovascular dysfunction

Question 10

this undergoes teaching of prescribed activity and exercise : Inform the patient of the purpose for, and the
benefits of, the prescribed activity and exercise
to improve his or her commitment to activity.
* Instruct the patient how to monitor tolerance of
the activity and exercise to prevent injury.
* Assist the patient to incorporate an activity and
exercise regimen into his or her daily routine or
lifestyle because it is an integral part of
diabetes control

Answer 10

yes it does!