Question:

Answer: Educational Needs - Increased

Health - Increased

LOC - Normal

Pain - Increased

Psych - Normal

Safety - Increased

Question:

Answer: Physiological

Alteration in tissue integrity - False

Decreased effectiveness of breathing pattern - True

Dehydration - True

Safety

Anxiety - False

Infection - True

Knowledge deficit - True

Potential for injury - True

Esteem

Growth and development - True

Question: Hannah Johnson Scenario 1

Hannah is fearful of administering insulin. You must attempt to help her gain confidence.

Answer: 1. Apply Therapeutic Communication/ Active Listening

2. Educate Hannah regarding insulin

3. Allow Hannah to practice with doll

4. Allow Hannah to return demonstration

5. Evaluate teaching

Question: Hannah Johnson Scenario 2

Upon entering room, you notice patient eating fast food hamburger, fries, and a milkshake.

Answer: 1. Provide carbohydrate education (CHO) for patient and parents

2. Provide quick reference tool for CHO

3. You demonstrate using reference tool

4. Patient and parents identify appropriate substitution

5. Document Education

Question: Hannah Johnson Scenario 3

Patient is observed as lethargic. Patient states she “hasn’t eaten much today”.

Answer: 1. Assess patient

2. Perform bedside blood glucose test (CBG result 56)

3. Obtain carbohydrate snack

4. Retake bedside blood glucose test in 30 mins (CBG results 94)

5. Document nursing actions

Question: Hannah Johnson Scenario 4

Patient reports new onset of abdominal itching.

Answer: 1. Wash and glove hands

2. Assess abdomen area (findings - rash)

3. Notify physician of findings

4. Administer po Benadryl

5. Notify parents of antibiotic allergic reaction

Question: Hannah Johnson Scenario 5

Hannah says she misses her friends but doesn’t want to see them because she is “different” now.

Answer:

Question: Med Admin

Hannah Johnson Room 301

DOB: 3/12/2012 (10yo)

MRN: 82911040

Weight: 63 lbs

Diagnosis: Dehydration, UTI

Allergies: NKDA

Provider: Dr Childs

Answer: Pay Attention to the time that medication should be administered

Look at chart before administering med

Get a second witness for high alert meds - opioids, insulin, potassium, etc

Question: Jonathan Gibbons Scenario 5

Jonathan is admitted to the Pediatric ER. Lung sounds reveal inspiratory and expiratory wheezing, RR 34 and shallow, lips and nails blue, HR 150. Pediatric Asthma score is 8.

Answer: 1. Apply continuous cardiopulmonary and pulse oximetry monitors

2. Administer corticosteroids 2 mg/kg IV

3. Administer albuterol nebulizer 0.5 mg/kg/hour for one hour

4. Reassess Pediatric Asthma Score

5. Admit to PICU for further treatment