The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen. The patient is receiving total parenteral nutrition (TPN), and the physician has prescribed insulin coverage on a sliding scale
The patient reports he has never had diabetes before. What response is best for the nurse to make?
a. "It is likely you have developed diabetes as a result of your illness."
b. "Do you have a family history for di-abetes?"
c. "The TPN you are receiving has high amounts of glucose."
d. "Insulin is needed to manage your sto-mach's inability to adequately metabolize food at this time."
C
People on TPN are prone to hyperglycemia from the high glucose content of the solution.
You might also like to view...
To decrease the histamine response related to an allergic reaction, the patient should be administered a(n) __________________
Fill in the blank(s) with correct word
A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement? (Select all that apply.)
a. Clear liquids in the morning before the procedure b. Cathartic in the evening before the procedure c. Soapsuds enema the morning of the procedure d. Insertion of a Foley catheter before the procedure e. Teaching with regard to insertion of an intravenous catheter before the procedure
In placing precordial leads, be sure to affix all the electrodes on the left side of the sternum with the exception of which lead??
A) Lead V3 B) Lead V4 C) Lead V2 D) Lead V1
A patient complaining of back pain requests several refills on any prescription since the medication is taken more frequently than prescribed. What should this information suggest to the nurse?
A. The patient is impulsive. B. The patient uses the pain medication to overcome low self-esteem. C. The patient has lost control over the consumption of the pain medication. D. The patient uses the pain medication to fit in with a peer group.