A client who had a myocardial infarction has an elevated blood glucose level and is getting insulin. The client asks why this is occurring because the client does not have diabetes. The best answer by the nurse is
a. "I am not sure, but I will ask the doctor and let you know."
b. "It is an expected side effect of the medications we gave you."
c. "The stress of your heart attack makes blood sugar rise."
d. "You probably are a diabetic and weren't diagnosed until now."
C
The stress of the illness and damage to the myocardium often raise blood glucose level. If the nurse does not know the answer to a question, option a is a good choice. If you do not know, find out and tell the client.
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When assessing a client receiving intravenous iron therapy, the nurse should:
a. monitor the client's blood pressure for hypertension. b. teach the client about self-administration of iron at home. c. monitor the IV site for phlebitis. d. assess the client for neurological impairment.
The National Notifiable Diseases Surveillance System (NNDSS) reports on the occurrence of notifiable diseases from all the U.S. states and territories. Nonetheless, the resultant data are not absolutely accurate because
A. A great deal of data are lost "en route" from physician to NNDSS. B. Computer operators do not always enter data accurately. C. Not all cases of such diseases receive care or are reported. D. Not all physicians know or obey the law to report cases to the NNDSS.
A patient who takes spironolactone for heart failure has begun taking digoxin (Lanoxin) for atrial fibrillation. The primary care NP provides teaching for this patient and asks the patient to repeat back what has been learned
Which statement by the patient indicates understanding of the teaching? a. "I should avoid high-sodium foods." b. "I should eat foods high in potassium." c. "I need to take a calcium supplement every day." d. "I should use a salt substitute while taking these medications."
The nurse works on a preoperative unit. For which of the following conditions does the nurse recognize urgent surgery is needed?
a. Ruptured appendix b. Hernia repair c. Fracture repair d. Aortic aneurysm