Jenny, a 15 year old female was admitted to the hospital with symptoms of fever,

Jenny, a 15 year old female was admitted to the hospital with symptoms of fever, nausea, vomiting and right flank pain for 2 days. She had been diagnosed with Type 1 Diabetes Mellitus at 7 years of age and has been taking a maintenance insulin regimen of 18 units of Lantus at bedtime and sliding scale dose of NovoLog before meals. For the past 2 days, she omitted her insulin because she was vomiting and could not eat. After reviewing your textbook and your Endocrine Video, answer the following questions. Patient teaching instructions need to be VERY SPECIFIC; assume Jenny and her parents know nothing!! Provide examples for the patient.
Assessment: lethargic but oriented, c/o chills, flank pain
Vital Signs: BP 78/52, HR 120/minute, RR 32/minute, T 102F
Labs: WBC 36,400/mm3, glucose 610mg/dL, Na 138 mEq/L, K 5.7 mEq/L, Cl 90 MEp/L, Bicarb 4 mEq/L, BUN 43 mg, creatinine 2.2 mg/dL, serum ketones 4+
1. 1. You, her nurse know that the first immediate treatment needs to be__________ and explain your reason for the priority. Why does she have this problem (what is causing it)? Why is this a priority? What can be the result if this treatment is not immediately started? (10 points)

2. 2. You are mentoring a new graduate and she asks you “Why is her potassium high?” What is your explanation? (10 points)

3. 3. Jenny says, “Sometimes, I get so shaky when my blood sugar drops. What is the best way to treat my low blood sugar?’. Outline 5 critical steps for Jenny in reversing her low blood sugar. (10 points)

4. 4. When Jenny is ready for discharge, provide your instructions on how to avoid this situation from occurring again. Be very specific in your explanation of 4 Sick Day Rules! What are 2 circumstances when Jenny should go immediately to the ER? (20 points)

Watch video then do cause study please