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Critical Thinking 4.1

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Donna, RN is caring for Mrs. Miller. Nursing Assistant Carly tells Donna that Mrs. Miller's routine bedside glucometer reading was 63 mg/dL. Donna appropriately treats Mrs. Miller with 15 g of glucose and asks Carly to recheck the blood sugar for the patient in room 532 in a half hour or so. Forty‐five minutes later, Carly tells Donna that she checked Mrs. Martin's blood sugar and it was 97 mg/dL. The nurse enters Mrs. Miller's room an hour later and finds her pale, diaphoretic, and confused.

Answer these questions:

1 What communication errors occurred in this scenario?

2 How did Carly confuse Mrs. Miller and Mrs. Martin?

3 What has happened to Mrs. Miller?

4 How could Donna have prevented the confusion and miscommunication?

Kelly Vana's Nursing Leadership and Management

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