©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Ray Williams i-Human Exam Study Guide Solutions
SBAR: Situation - Ans:✔✔-Mr. Ray Williams is a 55 year old retired male who presents to the urgent care
for evaluation of progressive symptoms of increased fatigue, increased thirst ( 4 liters of water/day), and
urination (15 +/day) of several weeks to possibly several months duration. Mr. Ray Williams height is 6.0''
(183 cm), he weights 216.0 lb (98.2 kg), and has a BMI of 29.3
SBAR: Background - Ans:✔✔-Mr. Ray Williams states that after he retired he had gained weight but in
the last few weeks he has unintentionally lost a lot of weight even though he has an increased appetite
and is constantly eating. The patient also expresses how he has trouble sleeping throughout the night do
to frequently having to go urinate at night. The patient has no known allergies and is not taking any
medications as of now.
SBAR: Assessment - Ans:✔✔-Vital Signs:
BP 142/84
Pulse 86
SpO2 98%
RR 18 -unlabored
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Temperature of 98.3 Fahrenheit
A&O X4
Pain 0/10
SBAR: Recommendation - Ans:✔✔-Some recommendations is to first check and monitor blood glucose
levels to determine a diagnosis. Educating the patient about keeping track of blood sugar levels and have
them under control, eat an adequate nutritional meal, exercise, lose weight safely and if necessary, avoid
smoking and how to monitor their blood pressure at home and looking out for high blood pressure
(follow treatments for high blood pressure as directed by their provider) and keeping track/treating high
cholesterol. It is important to manage DM by monitoring blood glucose levels, dietary management,
maintaining physical activity, controlling weight and stress, monitoring any medications/insulin
injections, pumps that are being taken. Consulting with a registered dietician to meet with the patient if
necessary, to educate them about adequate balanced meals.
Nursing Dx with 2 Short goals, 2 interventions for each - Ans:✔✔--Nursing diagnosis: Deficient
hypertonic fluid volume related to uncontrolled mellitus as evident by polyuria, polydipsia, fatigue and
polyphagia.
-Short term goal
Page 2/6
FIRST PUBLISH OCTOBER 2024
Ray Williams i-Human Exam Study Guide Solutions
SBAR: Situation - Ans:✔✔-Mr. Ray Williams is a 55 year old retired male who presents to the urgent care
for evaluation of progressive symptoms of increased fatigue, increased thirst ( 4 liters of water/day), and
urination (15 +/day) of several weeks to possibly several months duration. Mr. Ray Williams height is 6.0''
(183 cm), he weights 216.0 lb (98.2 kg), and has a BMI of 29.3
SBAR: Background - Ans:✔✔-Mr. Ray Williams states that after he retired he had gained weight but in
the last few weeks he has unintentionally lost a lot of weight even though he has an increased appetite
and is constantly eating. The patient also expresses how he has trouble sleeping throughout the night do
to frequently having to go urinate at night. The patient has no known allergies and is not taking any
medications as of now.
SBAR: Assessment - Ans:✔✔-Vital Signs:
BP 142/84
Pulse 86
SpO2 98%
RR 18 -unlabored
Page 1/6
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Temperature of 98.3 Fahrenheit
A&O X4
Pain 0/10
SBAR: Recommendation - Ans:✔✔-Some recommendations is to first check and monitor blood glucose
levels to determine a diagnosis. Educating the patient about keeping track of blood sugar levels and have
them under control, eat an adequate nutritional meal, exercise, lose weight safely and if necessary, avoid
smoking and how to monitor their blood pressure at home and looking out for high blood pressure
(follow treatments for high blood pressure as directed by their provider) and keeping track/treating high
cholesterol. It is important to manage DM by monitoring blood glucose levels, dietary management,
maintaining physical activity, controlling weight and stress, monitoring any medications/insulin
injections, pumps that are being taken. Consulting with a registered dietician to meet with the patient if
necessary, to educate them about adequate balanced meals.
Nursing Dx with 2 Short goals, 2 interventions for each - Ans:✔✔--Nursing diagnosis: Deficient
hypertonic fluid volume related to uncontrolled mellitus as evident by polyuria, polydipsia, fatigue and
polyphagia.
-Short term goal
Page 2/6
