A patient with diabetes is diagnosed with an elevated lipid level. The nurse realizes that this is because of

1. the body is unable to metabolize fats.
2. a breakdown of protein.
3. the liver producing lipids when there is an overabundance of glucose present.
4. insufficient intake of carbohydrates.


3

Rationale: The liver can produce lipids from glucose through a process called lipogenesis. This occurs when there are more carbohydrates present than required for energy or for glycogen storage in the liver. An elevated lipid level in the presence of an elevated glucose level does not mean that the body is unable to metabolize fats nor does it mean that there is a breakdown of protein. An elevated lipid level would not occur because of an insufficient intake of carbohydrates.

Nursing

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The nursing instructor explains to a class of students that the pituitary gland has many functions related to pregnancy. Which of the following functions are performed by hormones secreted by this gland? (Select all that apply.)

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A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a

A) C-I drug. B) C-II drug. C) C-III drug. D) C-IV drug.

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A patient approaches the nurse grimacing, talking in a whisper, and waving his arms. Which response by the nurse will be most helpful in promoting a therapeutic relationship with the patient?

1. Greet the patient. 2. Ignore the patient. 3. Confront the patient. 4. Assist the patient to leave the area.

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The nurse is caring for a client with chronic pancreatitis. Which instruction by the nurse is most appropriate?

a. "You will need to limit your protein in-take." b. "We need to call the dietitian to get help in planning your diet." c. "You cannot eat concentrated sweets any longer." d. "Try to eat less red meat and more chicken and fish."

Nursing