A patient in the intensive care unit is surprised to learn that he has an elevated blood glucose level since he has not been diagnosed with diabetes. Which of the following should the nurse explain to this patient?
1. It is the body's way of making sure there is enough energy for brain functioning.
2. Most people are not diagnosed with diabetes until they are admitted to an intensive care unit.
3. When stressed, the body releases more glucose into the blood raising the blood glucose level.
4. Many people have diabetes but are not aware of it.
3
Rationale: Stored glycogen is released into the blood stream in response to increased levels of epinephrine, norepinephrine, vasopressin, and angiotensin II. These are hormones that are released rapidly during physiologic stress leading to hyperglycemia as a metabolic stress response. This is what the nurse should explain to the patient. The other choices are incorrect and should not be provided to the patient.
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