A patient with diabetes tells the nurse that she has been "fighting" a cold for several weeks. Which of the following should the nurse consider for this patient?
1. inadequate caloric intake
2. immunocompromisation because of the diabetes
3. high blood glucose level
4. insufficient diabetes medication
2
Rationale: The patient has diabetes and is "fighting" a cold for several weeks. This could indicate a problem with immunity because a high-acuity patient is at high risk for development of immunocompetence problems secondary to prolonged stress, severe infections, malnutrition, diabetes, and other problems. There is not enough information to determine if the patient has an inadequate caloric intake, a high blood glucose level, or has not been prescribed sufficient diabetes medication.
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