Title: Assignment 2
Course: NUR 1210C Adult Health > Section: Module 2 - Nursing Care of Diabetic Client

Assignment # 2: CASE STUDY Adult Health I - Type 1 Diabetes Mellitus

C.Q., a 22 year old female presents to the doctor’s office with an approximate 10 lb. weight loss over the last few weeks. She complains of nausea and occasional vomiting, increased thirst and urination. She denies abdominal pain.  Her father has had Type 1 DM for 16 years and a cousin was diagnosed with Type 1 DM at age 18 months. Physical exam reveals a thin, white female in no acute distress. Mucous membranes are dry. Labs are as follows:

Random blood sugar | 411
BUN | 24
Sodium | 129
Chloride | 93
Potassium | 5.4
Bicarbonate | 23
CO2 | 23
Serum Ketones | Positive
WBC | 11,600
Hemoglobin | 13.7

1. What is the most likely cause of the client’s symptoms?  What further testing is required to confirm the diagnosis by the physician?
2. Discuss the pathophysiology of Type 1 vs. Type 2 Diabetes Mellitus.
3. What are three prioritynursing diagnoses for this client?
4. What teaching is appropriate during and after hospitalization for the newly diagnosed Type 1 client?
5. Explain the rationale for yearly optometrist visits and close monitoring of blood sugars in the diabetic client.

&nbsp