Clara is a perioperative nurse. She is monitoring the blood glucose level of Harold, a 56-year-old patient without diabetes who is undergoing orthopedic surgery. What is the main rationale for monitoring his blood glucose level during surgery?
A. She does not want Harold to develop type 2 diabetes.
B. Research shows a strong relationship between wound infections and hyperglycemia.
C. She knows that normal glucose levels promote good tissue oxygenation.
D. She is monitoring to prevent hypoglycemia.
B
Evidence has shown that there is a relationship between wound and tissue infection and blood glucose levels. Poor control of blood glucose levels (specifically hyperglycemia) during and after surgery increases the risk for wound infection and patient mortality in certain types of surgery.
You might also like to view...
A patient with coronary artery disease (CAD) experiences an increase in heart rate during physical therapy at the bedside. The nurse recognizes that an increase in heart rate in a patient with CAD may result in:
A) Increased myocardial perfusion B) Myocardial ischemia C) Formation of a pulmonary emboli D) Electrolyte imbalances
To reduce the effort of moving a heavy object, the nurse should:
a. bring the feet close together and flex the knees. b. keep the back straight and bend at the waist. c. widen the base of support in the direction of movement. d. broaden the base of support and twist toward the direction of movement.
The community clinic nurse manager is working on a long-term budget. The manager understands that in the next few years, Medicaid is expected to pay for fewer births. This is, in part, because:
A. The U.S. economy is becoming stronger. B. More women are able to pay for private insurance. C. New public policies are providing other forms of payment. D. Eligibility rules for Medicaid have been changed.
A community health nurse utilizes telehealth because it
a. Enables clients to get nursing care in their homes b. Substitutes for health department delivered care c. Improves access to care in rural areas d. Replaces face-to-face care for those who cannot afford it