The nurse is assisting with preparing a patient who is diabetic for cardiac surgery in 3 hours. During data collection, the patient states, "I took my usual insulin dose this morning." Which of the following actions should the nurse take?
a. State, "That is good."
b. Obtain vital signs.
c. Inform the physician.
d. Give 6 ounces of cranberry juice now.
ANS: C
The patient usually takes nothing by mouth (NPO) 8 to 12 hours before surgery. Due to this, patients who are diabetic have insulin and oral hypoglycemic agents reduced or withheld the morning of surgery with blood glucose monitoring.
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A 72-year-old man is newly diagnosed with Alzheimer's disease. The patient's daughter asks the nurse how her father's medication is going to help him. What will the nurse explain in layman's terms?
A) "The drugs work by increasing acetylcholine (ACh) levels in the brain and slowing the progression of the disease." B) "The drugs work by crossing the blood–brain barrier and cure the disease in the brain." C) "The drugs work by increasing ACh levels in the brain and reverse the progression of the disease." D) "The drugs work by crossing the blood–brain barrier and decreasing ACh levels in the neuromuscular junctions."
Before administering an ergot drug to the patient for the first time, the nurse would assess the patient's currently prescribed medications for what drug?
A) Antidiabetic agents B) Beta adrenergic blockers C) Oral contraceptives D) Selective serotonin reuptake inhibitors (SSRIs)
Which of the following is an expected part of the end-of-dying process?
a. Denial b. Despair c. Anorexia d. Depression
The nurse is caring for a patient who has a strong Christian faith. What is most important for the nurse to determine about the patient's beliefs?
1. Whether the beliefs have been proven by others of the same faith 2. Whether the beliefs have been present for an extended period of time 3. Whether the beliefs seem to be logical and enhance the patient's faith 4. Whether the beliefs seem to interfere with or enhance the patient's growth and well-being