A client with diabetes asks the nurse why it is necessary to maintain blood glucose levels no lower than about 60 mg/dL. Which is the nurse's best response?
a. "Glucose is the only fuel used by the body to produce the energy that it needs."
b. "Your brain needs a constant supply of glucose because it cannot store it."
c. "Without a minimum level of glucose, your body does not make red blood cells."
d. "Glucose in the blood prevents the forma-tion of lactic acid and prevents acidosis."
B
Because the brain cannot synthesize or store significant amounts of glucose, a continuous supply from the body's circulation is needed to meet the fuel demands of the central nervous system. The other statements are not accurate.
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An example of one strategy to improve participation in the change process by staff fitting the behavioral descriptions of laggards, early majority, late majority, and rejecters is to:
a. Encourage teamwork. b. Transfer to a different unit. c. Require attendance at staff meetings. d. Delegate the roles and tasks of change.
A nurse is providing an in-service on do-not-resuscitate (DNR) orders to a group of newly hired graduate nurses. Which of the following statements made by one of the group members indicates to the nurse a need for further teaching?
1. "Do-not-resuscitate orders are a form of euthanasia.". 2. "My nursing license is safe as long as I follow facility polices regarding a DNR.". 3. "A do-not-resuscitate order is an example of a client's right to autonomy.". 4. "Do-not-resuscitate orders may be rescinded if the client wishes.".
The caregivers of a child report that their child had a cold and complained of a sore throat
When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse should recognize these symptoms as being consistent with which disorder? A) Spasmodic laryngitis B) Tonsillitis C) Laryngotracheobronchitis D) Epiglottitis
The nurse is having difficulty reading the prescribed dosage on a handwritten order for a pain medication. The most appropriate action to ensure the client's safety and to minimize legal issues is for the nurse to:
1. Ask another RN to confirm the order 2. Request the pharmacist to interpret the order 3. Call the health care provider to clarify the order 4. Consult a current drug book to determine the normal dosage range