Swift River 2 Exam Test Questions with 100% Verified
Answers Graded A+
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 - - Educational Needs increased
Fall Risk normal
Health increased
Neurological normal
Pain level normal
Psychological Needs normaL
sensorium normal
NURSING CONSIDERATIONS:
@MercyTrishia docs
,Swift River 2 Exam Test Questions with 100% Verified
Answers Graded A+
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
ACTIONS 1:
Ask Mrs. Workman to explain what she knows about diabetes.
Explain in layman terms what Diabetes is and how it can adversely affect the body if left
untreated.
Discuss lifestyle choices that can lead to type II diabetes.
Discuss lifestyle changes that can be beneficial in the management of type II diabetes.
Document teaching and understanding of teaching using teach back process.
ACTIONS 2:
Assess Mrs. Workman's knowledge of nutrition and preferred foods.
Ask Mrs. Workman for a 24- hour diet recall.
Educate Mrs. Workman on healthier options based on the 24-hour diet recall.
@MercyTrishia docs
, Swift River 2 Exam Test Questions with 100% Verified
Answers Graded A+
Provide Mrs. Workman with a Mediterranean style diet plan
Ask Mrs. Workman to demonstrate understanding using the teach back method.
ACTIONS 3:
Assess the patient's preferred exercise regimen.
Ensure the patient does not have pre-existing conditions that would limit exercise routines.
Provide an exercise routine that has been developed in conjunction with Mrs. Workman.
Review with Mrs. Workman safety measures related to blood glucose levels when
exercising
Use teach back method and document education provided.
actions 4
Assess patient's blood glucose level.
Provide a 20 -gram carbohydrate liquid for consumption.
Provide another 20-gram carbohydrate liquid for consumption in 15 minutes for unresolved
symptoms.
Reassess the blood glucose level in 15 minutes.
Provide additional teaching to the patient regarding prevention strategies for hypoglycemia.
ACTIONS5;
Assess Mrs. Workman' s understanding of
@MercyTrishia docs
Answers Graded A+
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 - - Educational Needs increased
Fall Risk normal
Health increased
Neurological normal
Pain level normal
Psychological Needs normaL
sensorium normal
NURSING CONSIDERATIONS:
@MercyTrishia docs
,Swift River 2 Exam Test Questions with 100% Verified
Answers Graded A+
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
ACTIONS 1:
Ask Mrs. Workman to explain what she knows about diabetes.
Explain in layman terms what Diabetes is and how it can adversely affect the body if left
untreated.
Discuss lifestyle choices that can lead to type II diabetes.
Discuss lifestyle changes that can be beneficial in the management of type II diabetes.
Document teaching and understanding of teaching using teach back process.
ACTIONS 2:
Assess Mrs. Workman's knowledge of nutrition and preferred foods.
Ask Mrs. Workman for a 24- hour diet recall.
Educate Mrs. Workman on healthier options based on the 24-hour diet recall.
@MercyTrishia docs
, Swift River 2 Exam Test Questions with 100% Verified
Answers Graded A+
Provide Mrs. Workman with a Mediterranean style diet plan
Ask Mrs. Workman to demonstrate understanding using the teach back method.
ACTIONS 3:
Assess the patient's preferred exercise regimen.
Ensure the patient does not have pre-existing conditions that would limit exercise routines.
Provide an exercise routine that has been developed in conjunction with Mrs. Workman.
Review with Mrs. Workman safety measures related to blood glucose levels when
exercising
Use teach back method and document education provided.
actions 4
Assess patient's blood glucose level.
Provide a 20 -gram carbohydrate liquid for consumption.
Provide another 20-gram carbohydrate liquid for consumption in 15 minutes for unresolved
symptoms.
Reassess the blood glucose level in 15 minutes.
Provide additional teaching to the patient regarding prevention strategies for hypoglycemia.
ACTIONS5;
Assess Mrs. Workman' s understanding of
@MercyTrishia docs
