A client with severe acute pancreatitis has a glucose level of 750 mg/dL. What does the nurse understand is the cause of this level of hyperglycemia?
A) Increase in circulating calcium
B) The client has not been taking the insulin and eating simple carbohydrates.
C) The client has diabetes as well as pancreatitis.
D) Imbalance of glucagon, insulin, and somatostatin
D
Feedback:
Complications from severe acute pancreatitis are serious and sometimes fatal. Hyperglycemia results from an imbalance of glucagon, insulin, and somatostatin. Increase in circulating calcium does not result in an increase in glucose levels. The nurse cannot assume that the client has diabetes and is noncompliant.
You might also like to view...
What must be completed before a position is offered?
A) Physical examination B) Preemployment testing C) Reference check D) Personal interview
The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of
a. conjunctivitis. b. severe headaches. c. skin eruptions. d. unexplained weight loss.
The nurse at a public health clinic is assessing a patient's risks for heart disease. A patient who has a BMI of 28 would require which intervention?
a. No intervention is indicated; the patient's BMI is within normal limits. b. The patient should be instructed in methods for gaining weight c. The patient should be educated about weight reduction. d. The patient should be referred for surgical intervention for extreme obesity.
The goal of parish nursing is
1. To enhance spirituality of communities through teaching healthy lifestyle choices 2. To initiate primary prevention activities 3. To develop and sustain health ministries within faith communities 4. To act as a health referral source for churches