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Nursing Diagnosis

Expected Patient Outcome
(Outcome Criteria – Short & Long Term)

Plan of Care
Nursing Interventions

Evaluation


Teach client to maintain a blood glucose diary. (Keeping a diary can help clients realize what symptoms are related to blood glucose readings, as well as guide diabetes treatment) Teach clients who are treated with insulin that they may need to eat extra carbohydrates before exercise, depending on how exercise affects their blood glucose levels.

If the client either verbalize

∙ ∙

having kept a blood glucose diary, or can present a blood glucose diary this intervention would be successful. If not, the intervention would be unsuccessful. The intervention would be

Short Term: Client will verbalize self-care actions to take if blood glucose is too high or too low a week from the date of care Problem Risk for unstable blood glucose

successful if the client verbalizes having consumed extra carbs or glucose before exercising. If the client can not do this the intervention is not successful. The intervention would be

Teach client that stopping insulin therapy can lead to hyperglycemic crisis (ketoacidosis or hyperosmolar hyperglycemia). Ensure client receives insulin per order and at order time. (Diabetes can be a particularly expensive disease to cope with, but it is important to continue therapy)

successful if the client verbalizes continuing insulin therapy. If the client can not do this the intervention is not successful. A goal would be met if the client’s blood glucose levels are between or below the targeted levels. A goal that is not successfully met would be shown by glucose levels being above the targeted levels.

Long Term: Client will maintain fasting blood glucose level 105 mg/dL, 1-hour after the meal (pc) level 155 mg/dL, and 2-hour pc level 130 mg/dL

Result :
Monitor blood glucose before meals and at bedtime. (Self-monitoring of blood glucose is an easy, less intensive way to help reach blood glucose goals) Patient’s glucose reading was 91mg/dl after meal at 10:30- am . Pt. Received insulin shot at prescribed time Pt received finger stick monitor 3 times a day.

Monitor for signs and symptoms of

hyperglycemia, such as polydipsia, polyuria, and polyphagia. (Being aware of blood glucose levels outside of normal allows for early detection and treatment before progressing to ketoacidosis or other more serious conditions)

xxxxx (Ackley & Ladwig. 2008). polyuria. (Self-monitoring of blood glucose is an easy. The goal would be successfully met if the client can verbalize 5 self-care actions to take if blood glucose is too high or too low on xxxxxx. If the client does not monitor blood glucose levels before meals and at bedtime the intervention is not successfully If the client can verbalize several signs and hyperglycemia. If the client can not verbalize 5 self-care actions the goal would not be successfully met. If the client can not do this the intervention is not successful. the intervention is not successfully met. or can present a blood glucose diary this intervention would be successful. stress (Ackley & Ladwig. ∙ ∙ Teach client to maintain a blood glucose diary. the intervention would be unsuccessful. 2008). 1hour after the meal (pc) level 155 mg/dL. The intervention would be successful if the client verbalizes continuing insulin therapy. ∙ ∙ ∙ If the client either verbalize having kept a blood glucose diary. less intensive way to help reach blood glucose goals) (Ackley & Ladwig. and polyphagia. 2008). symptoms of hyperglycemia the intervention would be successfully carried out. (Taking glucose before exercise can help prevent hypoglycemia) (Ackley & Ladwig. If the client can not do this the intervention is not successful. ∙ Monitor blood glucose before meals and at bedtime. . Short Term: Client will verbalize self-care actions to take if blood glucose is too high or too low a week from the date of care. If the client can not. Risk Factors Pregnancy. Teach clients who are treated with insulin that they may need to eat extra carbohydrates before exercise. (Keeping a diary can help clients realize what symptoms are related to blood glucose readings. 2008). and 2-hour pc level 130 mg/dL until the EDD (xxxxx) (Ackley & Ladwig. 2008). such as polydipsia. as well as guide diabetes treatment) (Ackley & Ladwig. 2008).Nursing Diagnosis Expected Patient Outcome (Outcome Criteria – Short & Long Term) Plan of Care Nursing Interventions Evaluation Problem Risk for unstable blood glucose Long Term: Client will maintain fasting blood glucose level 105 mg/dL. depending on how exercise affects their blood glucose levels. 2008). The intervention would be successful if the client verbalizes having consumed extra carbs or glucose before exercising. If not. (Being aware of blood glucose levels outside of normal allows for early detection and treatment before progressing to ketoacidosis or other more serious conditions) (Ackley & Ladwig. ∙ ∙ If the client verbalizes self-monitoring blood ∙ Monitor for signs and symptoms of glucose levels before meals and at bedtime then the intervention has been successfully carried out.

Nursing Diagnosis Expected Patient Outcome (Outcome Criteria – Short & Long Term) Plan of Care Nursing Interventions Evaluation ∙ Teach client that stopping insulin therapy can lead to hyperglycemic crisis (ketoacidosis or hyperosmolar hyperglycemia). but it is important to continue therapy)(Ackley & Ladwig. . 2008). (Diabetes can be a particularly expensive disease to cope with. Ensure client has resources to purchase insulin.