A patient with diabetes has an increase in lipid and triglyceride levels. The nurse realizes this increase is because of
1. the body using free fatty acids for energy.
2. low blood glucose levels.
3. increased intake of protein.
4. overabundance of insulin in the blood.
1
Rationale: A deficit in insulin, and not an overabundance of insulin, causes the body to breakdown fat and reduce fat formation. The fat is released into the blood stream leading to an increase in plasma lipoproteins which is reflected in the patient's elevated lipid and triglyceride levels. Elevated lipid and triglyceride levels are not associated with low blood glucose levels. Increased protein intake will not necessarily cause an increase in lipid and triglyceride levels.
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A patient, age 24, had a traumatic amputation of his left foot in a motorcycle accident. He is receiving morphine by a patient-controlled analgesia (PCA) device. He complains of a burning sensation in his left foot. The nurse should explain that
a. this is a phantom pain and that its cause is not clearly understood. b. this is not possible because his foot was amputated. c. his regular pain medication will relieve the pain. d. this phantom pain will disappear in about 1 week.
The nurse is assessing a client and notes that she is lacking eyebrow hair and eyelashes. The nurse suspects:
a. the client was a victim of a house fire caused by cigarette smoking. b. this is related to abuse of marijuana. c. the client smokes crack cocaine. d. this is caused by heroin injections.
What is the earliest sign of shock that the nurse would monitor for during a routine assessment?
1. Complaints of nausea 2. Complaints of thirst 3. Restlessness 4. Pale skin
As an individual enters middle adulthood health problems generally become more prevalent. The middle adult may be influenced by chronic illness that results in:
1. Decreased health care tasks 2. Reinforcement of family roles 3. Changed sexual behavior habits 4. Improvement of family relationships