An older client is diagnosed with disorders of fat metabolism, reduced absorption of fat-soluble vitamins, and slightly elevated blood glucose level
When caring for this client, on which endocrine organ should the nurse focus interventions?
A) Pituitary
B) Thyroid
C) Pancreas
D) Adrenal medulla
Answer: C
Normal age-related changes in pancreatic function include decreased production of lipase, which causes less fat absorption and decreased absorption of fat-soluble vitamins. The pancreas also has decreased insulin release and decreased sensitivity to circulating insulin, which can cause an increase in blood glucose levels in the older adult who does not have diabetes. There is no evidence to support focusing on the pituitary, thyroid, or adrenal medulla.
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The nurse is caring for a client who has a family history of diabetes, is obese, and is aging. Which type of diabetes would the nurse suspect this client has?
a. gestational diabetes mellitus c. type 1 diabetes mellitus b. immune-mediated diabetes mellitus d. type 2 diabetes mellitus
A patient with psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation
a. Patient struck another patient who attempted to leave day room to go to bathroom. Seclusion necessary at 1415. Plan: Maintain seclusion for 8 hours and keep these two patients away from each other for 24 hours. b. Seclusion ordered by physician at 1415 after command hallucinations told the patient to hit another patient. Careful monitoring of patient maintained during period of seclusion. c. Seclusion ordered by MD for aggressive behavior. Begun at 1415. Maintained for 2 hours without incident. Outcome: Patient calmer and apologized for outburst. d. Patient pacing, shouting. Haloperidol 5 mg given PO at 1300. No effect by 1315. At 1415 patient yelled, "I'll punch anyone who gets near me," and struck another patient with fist. Physically placed in seclusion at 1420. Seclusion order obtained from MD at 1430.
A 76 year old patient has just been admitted to the nursing unit with terminal cancer of the liver. The nurse is assessing the patient's spiritual needs and responds best by saying:
A) "What do you believe happens to your spirit when you die?" B) "We would allow members of your church to visit you whenever you desire" C) "I notice you have a Bible - is that a source of spiritual strength to you?" D) "Has your terminal condition made you lose your faith or beliefs?"
What is an advantage of external electronic fetal monitoring?
a. The ultrasound transducer can accurately measure short-term variability and beat-to-beat changes in the fetal heart rate. b. The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of uterine contractions (UCs). c. The tocotransducer is especially valuable for measuring uterine activity during the first stage of labor. d. Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.