Patient J.C.L., a 36-year-old accountant who is in her third

Patient J.C.L., a 36-year-old accountant who is in her third… Patient J.C.L., a 36-year-old accountant who is in her third pregnancy at 26 weeks gestation was diagnosed with diabetes during a recent pregnancy. The routine glucose tolerance test performed and revealed elevated at 220 mg/dl. A random glucose completed 1-2 days laterwas also elevated at 210 mg/dl. A follow-up HbA1c was elevated at 8.6%. Urine dipstick shows 3+ glycosuria and negative ketones. Her pre-pregnancy weight was 120-130 lbs with BMI of 25. She had gained 30 lbs during her pregnancy and loss 14 lbs over the past 2 weeks. Upon assessment, her vitals are: blood pressure 130/80 mmHg, respiratory rate 18 bpm, pulse rate 92  bpm and temperature 36.8 C. She also verbalized experiencing fatigue, excessive thirst and frequent urination. The patient’s past obstetric history includes two spontaneous vaginal delivery of a 7 lbs, 8 oz. male infant at 40 weeks gestation and 6 lbs, 2 oz. female infant at 39 weeks, 7 years and 5 years ago respectively. The patient reports that the children are doing well. She had no family history of diabetes with the exception of one sister who had been also diagnosed with gestational diabetes. The physician advised an insulin self administration and prescribed with the following:1. Levimir 18 units after dinner.2. Novorapid 6 units after breakfast, 6 units after lunch and 8 units after dinner.:1.  What is the rationale for this nursing diagnosis?Imbalanced Nutrition Related To Decrease Glucose Uptake in Cells (Less than body requirement)2. Complete the tableCues Nursing Diagnosis Rank JustificationSubjective:The patient verbalizes that she experience:- Frequent Urination- Weight loss- Fatigue Objective:- routine glucose tolerance test: 220 mg/dl- random glucose:  210 mg/d- HbA1c: 8.6%.- Urine dipstick:  3+ glycosuria- Weight loss of 14 lbs over 2 weeks Imbalanced Nutrition related to Decrease Glucose Uptake in Cells  Subjective: The patient verbalized experiencing fatigue, excessive thirst, and frequent urination.Objective:routine glucose tolerance test: elevated at 220 mg/dlrandom glucose:  elevated at 210 mg/dHbA1c was elevated at 8.6%.Urine dipstick shows 3+ glycosuriaRisk for fetal injury related to elevated maternal serum blood glucose levels secondary to diabetes   Health Science Science Nursing NURSING BS 103

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