Exam (elaborations)

vSIM-Skyler Hansen Diabetes

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Course
NRSG 116

Institution
NRSG 116

1. How did the scenario make you feel? I did feel more prepared for this scenario. I felt I knew a lot about diabetes versus other diseases that we have had scenarios over previously. Before the scenario started, I was able to think about what I would need to do. My original thought was I need t...

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vsim skyler hansen diabetes
1 how did the scenario make you feel
2 what management options would have been appropriate if skyler hansen had been alert and could swallow
3 if skyler hansen’s acute

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Medical Case 5: Skyler Hansen
Guided Reflection Questions .

1. How did the scenario make you feel? I did feel more prepared for this scenario. I felt I
knew a lot about diabetes versus other diseases that we have had scenarios over previously.
Before the scenario started, I was able to think about what I would need to do. My original
thought was I need to assess him then take his glucose level. I decided to asses Skyler then call
the doctor and get orders. After I called the doctor, he/she put in the order to take his glucose. I
then thought why didn’t I do that before calling? I had the thought but didn’t do it. In real life the
doctor would have more than likely asked what his level was. Other than that situation I still felt
prepared. I am happy I was able to help Skyler out and know what to do versus the previous
scenarios that I had redid multiple times because I didn’t know how to react.

2. What management options would have been appropriate if Skyler Hansen had been alert
and could swallow? There are a handful of options that would have been appropriate if Skyler
had been alert and swallow such as: fast-acting carbohydrates such as a banana, glucose
tablets/gel, fruit juice, regular soda (not diet), and hard candies. Some of the more common
juices given are orange juice and grape juice. Common hard candies are life savers (hard ones,
not chewy), jelly beans, and licorice. It is important to remember when using one of these
options to have a meal to help stabilize the blood sugar.

3. If Skyler Hansen’s acute hypoglycemic episode had not have been treated immediately,
what could have happened? If Skyler’s hypoglycemic episode had not been treated immediately
many things could have happened to him. To begin with, he could have developed poor
coordination and problems with concentration two very important things when you are sick and
in need of help. Another issue is seizures. Following seizures there can be periods of confusion,
drowsiness, and lethargy. The biggest issue is if Skyler would not have been treated, he could
have started passing out that could have led to coma. As with coma, who knows if the patient
will wake up or not wake up and if there are complications if the patient wakes up.

4. If too much glucose were administered to Skyler Hansen while the health care team was
trying to correct his blood glucose level, what could occur? If Skyler had been given too much
glucose while trying to correct his blood glucose levels, there are serious side effects that could
happen. Even though some of the side effects could be temporary. Some of the side effects that
need to be reported to your physician would be pain, bruising, or swelling at the site of injection,
flushing of the skin, confusion, dry mouth/thirst, and passing large amount of urine. As the
patient always speak up and ask questions when you feel a little off or when you are unsure what
is taking place.

5. Describe age-appropriate patient teaching for Skyler Hansen and resources that may be
helpful to him. Due to Skyler’s age as the nurse you need to think how to educate him to where

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Exam (elaborations)

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