Real Life RN Nursing Care of Children 2.0 Type 1 Diabetes

Reasoning Scenario Performance related to Outcomes: Body Function Strong Satisfactory Needs Improvement Cognition and Sensation 100% Immunity 100% Ingestion, Digestion, Absorption & Elimination 100% Oxygenation 100% Regulation and Metabolism 100% NCLEX RN Strong Satisfactory Needs Improvement Management of Care RN 2013 100% Safety and Infection Control RN 2013 100% Health Promotion and Maintenance RN 2013 100% Psychosocial Integrity RN 2013 100% Reduction of Risk Potential RN 2013 100% QSEN Strong Satisfactory Needs Improvement Safety 100% Patient-Centered Care 100% Evidence Based Practice 100% Teamwork and Collaboration 100% Decision Log: Optimal Decision Scenario Nurse Joline receives report from Nurse Debbie. Question Nurse Joline received an SBAR report from Nurse Debbie in the emergency department. Which of the following components of the SBAR report were incomplete? Selected Option Assessment Rationale The nurse reviewed a portion of the assessment, including information about vital signs and laboratory reports. However, she did not include all of the necessary information, such as the client’s I&O and allergy to penicillin. Page 2 of 6 Scenario Billy is lying in bed with hypoglycemia. Question Nurse Joline evaluates Billy’s blood glucose using a glucometer, and the results are 56 mg/dL. Based on this finding, identify the sequence of actions Joline should take next. (Move the steps into the box on the right, placing them in the correct order of performance. All steps must be used.) Selected Ordering Assess Billy's level of consciousness.Give Billy a source of glucose.Monitor Billy's vital signs.Notify the provider.Explain the treatment of hypoglycemia to Billy's mother.Repeat the blood glucose test. Rationale The nurse should assess neurologic status first, and then promptly address the client’s hypoglycemia by giving the client a source of glucose, such as fruit juice or crackers. The nurse should then monitor the client’s vital signs and notify the provider about the hypoglycemic reaction. At that point, the nurse should inform the client’s parents about the treatment. The last step is for the nurse to repeat the blood glucose test 15 to 30 min after the initial hypoglycemic event.