Harry George (Room 401) Quiz Lesson 22 Diabetes Mellitus Part 1 And Part 2
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Course
NUR 201 (NUR201)
Institution
Jersey College College Of Nursing
Harry George (Room 401) Quiz Lesson 22 Diabetes Mellitus Part 1 And Part 2Quiz | Lesson 22 | Diabetes Mellitus, Part 1 Question 1 1 / 1 pts Exercise 2 - Virtual Hospital Activity Sign in to work at Pacific View Regional Hospital for Period of Care 1. (Note: If you are already in the virtual hospita...
Sign in to work at Pacific View Regional Hospital for Period of Care 1. (Note: If you are already in
the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the
Program to get to the sign-in window.)
From the Patient List, select Harry George (Room 401).
Click on Go to Nurses’ Station.
Click on Chart and then on 401.
Click on History and Physical.
Exercise 2 - Question 1
What risk factors for diabetes are noted in Harry George’s history?
Your Answer:
Maternal grandmother DM & HTN, maternal grandfather died of age 79 of stroke, Poor nutrition,
Noncompliance with blood glucose monitoring and inconsistent with medications. Paternal
grandmother died of COPD at 79, age, HTN, cigarette smoking for 36 years ETOB abuse.
Maternal grandmother has diabetes, Hypertension
Question 2
pts
Exercise 2 - Question 2
Describe the history of his present illness.
Your Answer:
Infection & swelling of left foot and he broke foot approximately 4 years ago in a motorcycle
accident. He has Fractures of metatarsals and left malleolus. In admission, told he was diagnosed
with DM. ETOH abuse after accident and never told of bone infection.
Harry George has had problems with infection and swelling of left foot off and on for last 4 years
since he broke his foot in a motorcycle accident. Type 2 diabetes was diagnosed at that time. He
,has a current history of alcohol abuse and smoking.
Question 3
pts
Exercise 2 - Question 3
What is the relationship between the infection in Harry George’s foot and his diabetes mellitus?
Your Answer:
The relationship between the infection, foot, an DM is due to pts. DM2, hyperglycemia and
vascular changes r/t DM not allowing foot to heal, wound/poor wound healing, improper
nutrients to foot to heal.
Hyperglycemia and vascular changes from diabetes decrease WBC activity, inhibit gas exchange
in the tissue, and promote growth of microorganisms.
Question 4
pts
Click on Laboratory Reports.
Exercise 2 - Question 4
Harry George's blood glucose level on admission was ______ mg/dL.
380
Question 5
pts
Exercise 2 - Question 5
What abnormalities in his urinalysis results can be attributed to diabetes? Explain the
relationship.
Your Answer:
The abnormalities of turbid (cloudy/ sediments), glucose, ketones, leukocytes in the pts. urinate
results can be contributed to DM. The relationship is an infection.
4+ glucose in urine—caused by hyperglycemia, glucose spilling into urine
Moderate ketones in urine—related to the breakdown of fatty acids for energy because cells
cannot use glucose secondary to diabetes and patient not taking his oral hypoglycemic agent
, 6 mg protein in urine—may indicate microvascular changes in the kidney
Turbid urine with few white blood cells and leukocytes—possible urinary tract infection (UTI);
patient is at increased risk for UTI secondary to hyperglycemia
Question 6
pts
Click on Emergency Department.
Exercise 2 - Question 6
What factor in Harry George’s recent history most likely contributed to his hyperglycemia? (Hint:
Read the emergency department physician’s notes for 1345.)
Your Answer:
1345-BGM (380) Regular insulin 10 units IV RFA; response BGM 295. He’s had left foot pain for
over 4 years on/off, but said this is the worst. Noncompliance with meds and homeless man in
severe pain and malnutrition with ETOH abuse. Pt. unable to go back to work due to pain. Also,
unable to check blood glucose monitoring relate to someone stole it.
Harry George ran out of glyburide about 1 week ago.
Question 7
pts
Click on Nursing Admission.
Exercise 2 - Question 7
Listed below are clinical manifestations of diabetes mellitus identified in the textbook. For each
manifestation, indicate (Yes or No) whether each manifestation is usually present in type 2
diabetes. Then indicate (with Yes or No) whether it is usually present in type 2 diabetes.
Polyuria- yes
Polydipsia- no
Polyphagia- no
Visual blurring- yes
Fatigue- no
Weight loss- no
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