If a young woman with type 1 diabetes mellitus is in a car accident and breaks several bones, she is likely to need

a. less insulin than usual.
b. more insulin than usual.
c. a different type of insulin.
d. the same amount of insulin.


B
Serious injury increases insulin requirements because of increased hepatic glucose production caused by the release of epinephrine, norepinephrine, glucagon, and cortisol.

Nursing

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The survivors of a patient who unexpectedly died in a hospital brought suit for wrongful death against the hospital and two nurses. Review of the hospital's pertinent policy and procedures found them to be current

Review of the medical record revealed that policy and procedures were followed by the nurses. What is the likely outcome of this suit? 1. Find for the survivors, since the death was unexpected. 2. Find for the survivors, since hospital policy and procedures do not supersede national standards. 3. Find for the nurses, since they followed hospital policy and procedures. 4. Find for the nurses, since the patient is dead and cannot report variation from the standards.

Nursing

Which advice to the client is one of the most effective methods for preventing venous stasis?

a. Sit with the legs crossed. b. Rest often with the feet elevated. c. Sleep with the foot of the bed elevated. d. Wear elastic stockings in the afternoon.

Nursing

While assessing a new patient, the nurse asks about a family history of genetic illnesses. The patient states that her mother has diabetes. For which of the following is this patient at increased risk?

A) Diabetes B) Hypertension C) Twins D) Seizures

Nursing

The nurse assesses an adolescent who complains of ear pain. The patient exhibits pronounced tenderness of the auricle when it is manipulated for insertion of the otoscope. Based on this sign, the nurse should suspect:

1. allergic rhinitis. 2. serous otitis media. 3. otitis media. 4. otitis externa.

Nursing