Using the case study below, prepare a 3-5 page paper. A 21-year old female (A.M) presents to the urgent care clinic with  symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She  states that she has Type I diabetes and has not been managing her blood  sugars since she’s been ill and unable to keep any food down. She’s only  tolerated sips of water and juices. Since she’s also been unable to  eat, she hasn’t taken any insulin as directed. While helping A.M. from  the lobby to the examining room you note that she’s unsteady, note that  her skin in warm and flushed and that she’s drowsy. You also note that  she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a  challenge answering questions but keeps asking for water to drink. You get more information from A.M. and learn She had some readings on her glucometer which were reading ‘high’ She vomits almost every time she takes in fluid She hasn’t voided for a day but voided a great deal the day before She’s been sleeping long hours and finally woke up this morning and decided to seek care Current labs and vital signs: What is the pathophysiology for the condition you believe A.M. has? Relate the etiology and clinical manifestations for the condition you identified for A.M. The practitioner at the urgent care facility makes the decision that  A.M. needs to go to the hospital by ambulance. Once at the Emergency  Department (ED), the ED physician orders these items: 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch  urine for UA and C&S; stool for ova and parasites; Clostridium  difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on  room air 1800 calorie, carbohydrate controlled diet Bed rest Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN Furosemide (Lasix) 60 mg IV push now Urinary output every hour VS every shift The orders above -- which are questionable related to her condition and which are appropriate? What are the expected treatments for this condition? Instructions: Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition. Use two evidence-based articles from peer-reviewed journals or  scholarly sources to support your findings. Be sure to cite your sources  in-text and on a References page using APA format.  Case study adapted from: Harding, M.M. & Snyder, J.S. (2015).  Winningham’s critical thinking cases in nursing: Medical-surgical,  pediatric, maternity, and psychiatric. Retrieved from:  https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions. Explain what symptoms are associated with the findings and how these affect patient function.

In this mid-course entry into your Nurse E-Portfolio for this course, you will be examining your perceptions of the nurse in the role of collecting and assessing information. Using the e-portfolio format, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.What have you learned so far in this course that will help you conduct effective health assessments?What skills do you have you gained?Describe any areas that are still unclear and ways you will gain clarity.Please use grammarly to check wordy sentence and spelling mistakes.