Correct!!
JOYCE WORKMAN
REPORT/ ACCUITY
Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new
diagnosis of type II diabetes. She has been documented as being obese, new onset hypertension,
polyuria, and a rash on her abdomen. She was asymptomatic upon arrival. She was admitted
yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. She states
she leads a sedentary lifestyle as a bank officer. Her HbA1C is 10%.
SCENARIO 1:
Mrs. Workman presented to the diabetes clinic and provided a 24- hour food recall. She was then
sent to the lab for ordered lab tests. She is to notify the nurse upon return to the clinic from the lab.
Patient has requested more information on her diabetes and states she does not understand why she
"should be concerned" with blood glucose control in both the short and long term.
SCENARIO 2:
The nurse is providing information on - ANSWER-Educational Needs increased
Fall Risk normal
Health increased
Neurological normal
Pain level normal
Psychological Needs normaL
sensorium normal
NURSING CONSIDERATIONS:
Physiological:
Enhanced readiness for learning T
Ineffective health maintenance T
Safety:
Deficient fluid volume F
Imbalanced Nutrition T
Risk for injury T
Social isolation F
, SCENARIO 1
You have entered the room to administer the patient's morning medication, atenolol 50mg. The CNA
reports the blood pressure was 130/86 an hour ago.
SCENARIO 2:
You return to patients room 20 minutes later and the patient is pale, lying in bed, feels light-headed
and nauseated when he sits up.
SCENARIO 3
Call the Healthcare Provider and provide the following information utilizing S - ANSWER-Educational
Needs increased
Fall Risk increased
Health increased
Pain level Increased
Psychological Needs normaL
sensorium increased
NURSING CONSIDERATION
Physiological:
Acute Pain T
Bleeding risk F
Safety:
Deficient knowledge T
Fall risk T
Peripheral neurovascular dysfunction F
ACTIONS 1
Perform hand hygiene.
Re-assess blood pressure and pulse. BP is 190/110, pulse is 86.
Evaluate patients understanding of the medication and provide education.
Administer the medication.
Document on the MAR and education in the chart.
ACTIONS 2: