ATI Real Life RN Nursing Care of Children Diabetes Mellitus, study guide (elaborated)

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West Coast U LA BSN BSN Standard Use Time and Score Date/Time Time Use Score Type 1 Diabetes Mellitus 9/25/2017 10:26:43 AM 5 min Strong Module Report Real Life RN Nursing Care of Children 2.0 Type 1 ... Diabetes Mellitus Tutorial: Module: Reasoning Scenario Details Type 1 Diabetes Mellitus - Use on 9/ 25/2017 10:26:43 AM REP_RSIndv_ModuleReport_1_0 Page 1 of 6 This study resource was shared via CourseHReasoning Scenario Performance related to Outcomes: Body Function Strong Satisfactory Improvement Needs Cognition and Sensation 100% Immunity 100% Ingestion, Digestion, Absorption & Elimination 100% Oxygenation 100% Regulation and Metabolism 100% NCLEX RN Strong Satisfactory Improvement Needs 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 Improvement Needs 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. Optimal Decision Report Created on: 9/25/2017 10:32 AM EDT REP_RSIndv_ModuleReport_1_0 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. Optimal Decision Scenario Nurse Joline is reviewing Billy¶s growth charts. Question Billy¶s mother expresses concern about her son¶s weight loss. After reviewing Billy¶s growth charts, which of the following statements is a therapeutic response by Joline? Selected Option "He lost weight due to his diabetes, and his weight is now closer to the average for his height." Rationale This is a therapeutic response because it addresses the client¶s mother¶s concern. Optimal Decision Scenario Nurse Joline is preparing to conduct diabetic teaching with Billy and his mother. Question Nurse Joline is preparing to initiate teaching about diabetes with Billy and his mother. Select the appropriate method that takes into consideration Billy¶s level of development. (Review each of the three videos. After making your selection, click on the submit button.) Selected Option Nurse Joline uses visual aids to discuss the plan of care with Billy and his mother. Rationale This is the correct approach because the nurse is interacting with the client in a manner that is developmentally appropriate. Optimal Decision Scenario Nurse Joline is preparing to teach glucometer testing and review insulin injections. Question Nurse Joline is preparing to do a glucometer test on Billy¶s finger. Billy has the blanket over his head and is holding his teddy bear. Which of the following is the appropriate response by Joline? Selected Option "All right, hug your teddy bear and pick which finger we¶re going to test." Report Created on: 9/25/2017 10:32 AM EDT REP_RSIndv_ModuleReport_1_0 Page 3 of 6 Rationale The nurse recognizes the client¶s fear and gives him a choice to distract him and offer him some control. The client is allowed to draw comfort from his transitional object. Optimal Decision Scenario Nurse Joline is teaching Billy about managing his diabetes mellitus at home. Question Nurse Joline is teaching Billy about managing his diabetes mellitus at home and the use of short-acting insulin. Which of the following statements by Billy indicates an understanding of the teaching? Selected Option "If I don¶t eat my morning snack, I can have low blood glucose." Rationale This is an accurate statement and demonstrates the client is thinking critically. The effects of short-acting insulin develop in 1 to 2 hr. Optimal Decision Scenario Nurse Joline is teaching Billy and his mother about hypoglycemia. Question Nurse Joline is teaching Billy and his mother about the manifestations of hypoglycemia. Which of the following manifestations should Joline include in the teaching? Selected Option Dizziness Rationale Neuroglycopenia causes a variety of neurological symptoms that affect mood, sensation, balance, and CNS function. Dizziness is an early sign of neuroglycopenia and requires immediate intervention. Optimal Decision Scenario Nurse Joline explains the long-term complications of diabetes mellitus. Question Nurse Joline is planning to review long-term complications of diabetes mellitus with Billy and his mother. Which of the following should Joline include in the teaching? (Select all that apply.) Selected Ordering RetinopathyNephropathyHypertensionPeripheral vascular disease Rationale A nurse should educate clients and their families of the potential physiological complications associated with diabetes. Retinopathy, nephropathy, peripheral vascular disease, and hypertension can occur as soon as 2 years after diagnosis. However, with blood glucose control, clients can avoid these complications for decades. Gastritis is a non-specific symptom that is not typically related to type 1 diabetes. Optimal Decision Scenario Nurse Joline is preparing to give Billy his first dose of cefuroxime (Ceftin). Question Nurse Joline is preparing to give Billy his first dose of cefuroxime (Ceftin). Which of the following is the next appropriate action for Joline to take? Selected Option Clarify the medication prescription with the provider. Report Created on: 9/25/2017 10:32 AM EDT REP_RSIndv_ModuleReport_1_0 Page 4 of 6 This study resource was shared via CourseHRationale The nurse should clarify the medication prescription with the provider because of the cross sensitivity between cefuroxime and penicillin. This is the next action the nurse should take. Optimal Decision Scenario Nurse Joline is calculating Billy¶s intake and output. Question Nurse Joline is calculating Billy¶s I&O. Review the I&O record below and calculate Billy¶s total intake since arriving to the facility. (Round the answer to the nearest whole number.) Selected Option 3040 Rationale This is the correct calculation. 1,000 mL + 240 mL + (6 x 30 mL/oz) + (6 x 30 mL/oz) + (8 x 30 mL/oz) + (120 mL/hr x 10KU  3,040 mL Optimal Decision Scenario Nurse Joline is teaching Billy about insulin injections. Question Nurse Joline is teaching Billy about insulin injections. Which of the following syringes is appropriate for administering insulin? Selected Option U-50 insulin syringe with 27-gauge needle Rationale The nurse should use a U-50 insulin syringe with a 27-gauge needle for insulin administration. This syringe is calibrated in units and has a small needle to minimize discomfort and damage at the injection site. Optimal Decision Scenario Nurse Joline is preparing to administer insulin. Question Nurse Joline is preparing to administer insulin. Which of the following is an appropriate action for Joline to take? Selected Option Have another nurse verify the volume and type of insulin in the syringe with the MAR. Rationale Standard practice requires another nurse to verify the insulin label on the vial with the volume of insulin in the syringe and compare these with the client¶s MAR. Optimal Decision Scenario Nurse Joline is reviewing Billy¶s immunization record. Question Nurse Joline is reviewing Billy¶s immunization record. Which of the following immunizations should Billy receive at the 12-year-old well-child visit? Selected Option Meningococcal Rationale Meningococcal disease has up to a 20% mortality rate in teenagers. Children should receive the meningococcal vaccine at a well-child visit by 11 or 12 years of age. MCV4 (Menactra vaccine) protects against meningococcal disease serogroups A, C, Y, and W135. Report Created on: 9/25/2017 10:32 AM EDT REP_RSIndv_ModuleReport_1_0 Page 5 of 6 This study resource was shared via CourseHOptimal Decision Scenario Billy's mother interacts with the home health nurse. Question Billy's mother describes her coping behavior in her phone conversation with the home health nurse. Which of the following statements by Billy's mother indicates a positive coping behavior? Selected Option "I want to find out as much as I can about diabetes." Rationale This is an example of a positive coping behavior because the client¶s mother is showing interest in the disease process. Report Created on: 9/25/2017 10:32 AM EDT REP_RSIndv_ModuleReport_1_0 Page 6 of 6 This study resource was shared via CourseHPage 1 of 3 Individual Report – Score Explanation and Interpretation Reasoning Scenario Information: Reasoning Scenario Information provides the date, time and duration of use, along with the score earned for each attempt. A Reasoning Scenario Performance score of Strong, Satisfactory, or Needs Improvement is provided for each attempt. This information is also provided for the Optimal Decision Mode if it has been enabled. Reasoning Scenario Performance Scores: Strong Exhibits optimal reasoning that results in positive outcomes in the care of clients and resolution of problems. Satisfactory Exhibits reasoning that results in mildly helpful or neutral outcomes in the care of clients and resolution of problems. Needs Improvement Exhibits reasoning that results in harmful or detrimental outcomes in the care of clients and resolution of problems. Reasoning Scenario Performance Related to Outcomes: A clinical reasoning performance score related to each outcome is provided. Outcomes associated with student responses are listed in the report. The number across from each outcome indicates the percentage of responses associated with the level of performance of that outcome. NCLEX® Client Need Categories: Management of Care Providing integrated, cost‐effective care to clients by coordinating, supervising, and/or collaborating with members of the multi‐disciplinary health care team. Safety and Infection Control Incorporating preventative safety measures in the provision of client care that provides for the health and well‐being of clients, significant others, and members of the health care team. Health Promotion and Maintenance Providing and directing nursing care that encourages prevention and early detection of illness, as well as the promotion of health. Psychosocial Integrity Promoting mental, emotional, and social well‐being of clients and significant others through the provision of nursing care. Basic Care and Comfort Promoting comfort while helping clients perform activities of daily living. Pharmacological and Parenteral Therapies Providing and directing administration of medication, including parenteral therapy. Reduction of Risk Potential Providing nursing care that decreases the risk of clients developing health‐ related complications. g-Care-of-Children-Diabetes-Mellituspdf/ This study resource was Physiological Adaptation Providing and directing nursing care for clients experiencing physical illness. Quality and Safety Education for Nurses (QSEN) Safety The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. Patient‐Centered Care The provision of caring and compassionate, culturally sensitive care that is based on a client’s physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values Evidence Based Practice The use of current knowledge from research and other credible sources, upon which clinical judgment and client care are based. Informatics The use of information technology as a communication and information gathering tool that supports clinical decision making and scientifically based nursing practice. Quality Improvement Care related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet the needs of clients. Teamwork and Collaboration The delivery of client care in partnership with multidisciplinary members of the health care team, to achieve continuity of care and positive client outcomes. Body Function Cardiac Output and Tissue Perfusion The anatomical structures (heart, blood vessels, and blood) and body functions that support adequate cardiac output and perfusion of body tissues. Cognition and Sensation The anatomical structures (brain, central and peripheral nervous systems, eyes and ears) and body functions that support perception, interpretation, and response to internal and external stimuli. Excretion The anatomical structures (kidney, ureters, and bladder) and body functions that support filtration and excretion of liquid wastes, regulate fluid and electrolyte and acid‐base balance. Immunity The anatomic structures (spleen, thymus, bone marrow, and lymphatic system) and body functions related to inflammation, immunity, and cell growth. Ingestion, Digestion, Absorption and Elimination The anatomical structures (mouth, esophagus, stomach, gall bladder, liver, small and large bowel, and rectum) and body functions that support ingestion, digestion, and absorption of food and elimination of solid wastes from the body. Integument The anatomical structures (skin, hair, and nails) and body functions related to protecting the inner organs from the external environment and injury. Mobility The anatomical structures (bones, joints, and muscles) and body functions that support the body and provide its movement. -Care-of-Children-Diabetes-Mellituspdf/ This study resource was Oxygenation The anatomical structures (nose, pharynx, larynx, trachea, and lungs) and body functions that support adequate oxygenation of tissues and removal of carbon dioxide. Regulation and Metabolism The anatomical structures (pituitary, thyroid, parathyroid, pancreas, and adrenal glands) and body functions that regulate the body’s internal environment. Reproduction The anatomical structures (breasts, ovaries, fallopian tubes, uterus, vagina, vulva, testicles, prostate, scrotum, and penis) and body functions that support reproductive functions. Decision Log Information related to each question answered in a scenario attempt is listed in the report. A brief description of the scenario, question, selected option and rationale for that option are provided for each question answered. The words “Optimal Decision” appear next to the question when the most optimal option was selected. The rationale for each selected option may be used to guide remediation. A variety of learning resources may be used in the review process, including related ATI Review Modules. Care-of-Children-Diabetes-Mellituspdf/ Powered by TCPDF () [Show More]

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