Explain the rationale for C.J.'s other presenting signs and symptoms
What will be an ideal response?
• Elevated blood glucose results from lack of insulin and probable infection.
• Warm, dry skin results from both the infection and worsening of ketosis.
• Fruity, acetone-smelling breath results from ketosis.
• Drowsiness results from depression of the central nervous system from acidosis.
• Hyperkalemia results from shifting of hydrogen ions intracellularly in an attempt to buffer the
acidosis.
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"Unconscious refusal to see reality" describes this type of defense mechanism:
A. Denial. B. Repression. C. Compensation. D. Isolation.
Which heart sound should the nurse record as normal?
a. Ventricular gallop in a 20-year-old patient b. Atrial gallop in a 25-year-old patient c. Friction rub in a 45-year-old patient d. Medium diastolic murmur in a 50-year-old patient
The nurse assists the patient with transferring from bed to chair by using a transfer belt. Which is the first instruction that the nurse gives to the patient after properly positioning him or her?
a. "Place your arms around my neck to stand up.". b. "Bend both knees slightly when standing up.". c. "Hold the transfer belt for stability during transfer.". d. "Rock to help stand while pushing up with your hands.".
Which is an advantage, from the perspective of a faith community nurse, of working in an unpaid congregation-based model?
A) Is recognized as a member of the ministry team B) Can limit how much time he or she offers to the congregation C) Receives much assistance from other nurses D) Can serve as an ambassador and referral agent to a health system