*NURSING > CASE SOLUTIONS > Case Study, Diabetes Mellitus Type IDKA, UNFOLDING Reasoning, Jack Anderson, 9 years old. Latest Gra (All)

Case Study, Diabetes Mellitus Type IDKA, UNFOLDING Reasoning, Jack Anderson, 9 years old. Latest Grade A Correct Study Guide, Complete Solutions

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History of Present Problem: Jack Anderson is a 9-year-old boy who presents to the emergency department because he has been more sleepy and his breathing is “not normal;” it is deeper and faste... r, according to his parents. Jack was sick with a respiratory virus two weeks ago but has since recovered. Jack began feeling more tired a few days ago when he started to complain of abdominal pain, headache, muscle aches, and consistently being hungry and thirsty. He is urinating more frequently during the day and at night. His mother reports a normal full-term pregnancy and Jack has been healthy with no known medical conditions. Personal/Social History: Jack lives with both parents and two siblings; a younger sister four years old and a 12-year-old brother. Both parents work as middle school teachers in the community. Jack is in the 4th grade and earns above-average marks. He is physically active and plays soccer on the school team. What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? (NCSBN: Step 1 Recognize cues/NCLEX Reduction of Risk Potential Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance: He's more sleepy Fatigue is a common symptom and can result from high blood sugar levels His breathing is "not normal" it's deeper and faster Was sick with a respiratory virus 2 weeks ago Always hungry and thirsty Kussmaul breathing is rapid or labored breathing, a symptom of DKA Lack of insulin or insulin resistance helping convert food to energy causes increased hunger and thirst RELEVANT Data from Social History: Clinical Significance: Has a support system from family Shows he will get the care he needs with his support system Physically active, plays soccer Being active can lead to hypoglycemia once he manages his diabetes [Show More]

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