The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of her exercise regimen. She now plans to enroll in a swimming class to meet her physical education requirement.
Which adjustment in her treatment plan will the nurse help this patient make? a. Time her morning insulin injection so that the peak action will occur during her swimming class.
b. Delete her normal walks on days she has swimming class.
c. Delay the meal before the swimming class until the session is over.
d. Monitor her glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
Question 2
Mr. Holmes is a 66-year-old man who is receiving radiation therapy and chemotherapy for the treatment of small cell lung cancer. As Mr. Holmes' nurse, you have assessed him many times since he was admitted to the hospital.
This morning, he admits that his greatest challenge he is currently facing is his overwhelming fatigue. How should you respond to this patient's statement?
A) Your fatigue is actually a sign that your body is redirecting its energies toward healing and away from more common functions like mobility.
B) I'm sure you'll agree that fatigue, even when it's severe, is much preferable to pain. It's fortunate that your pain is now well-controlled.
C) That must be incredibly difficult for you. How would you rate your fatigue if you had to give it a number from 1 to 10?
D) That's entirely normal, given what your body is going through and how much treatment you're currently getting.
Example of problem focused patient
What type of errors are these: calling only large dogs a dog and calling a dog a kitty?
The metabolic abnormalities in diabetes
TYPE I and TYPE II CUTANEOUS MECHANORECEPTORS