The client who is taking corticosteroids daily for severe asthma now has an elevated blood glucose level. He asks the nurse if he is now considered diabetic. What is the nurse's best re-sponse?
A. "Yes, the corticosteroids have destroyed the ability of the pancreas to synthesize insulin."
B. "Yes, whenever blood glucose levels are abnormally high, the condition is called diabetes."
C. "No, the blood glucose level is elevated because corticosteroids increase the syn-thesis of glucose."
D. "No, the lack of insulin is temporary and will return to a normal level when the asthma is better."
C
Corticosteroids cause a "pseudodiabetes" with increased blood glucose levels by stimulating liver synthesis of glucose and suppressing glucose use by cells. The ability of the pancreas to syn-thesize insulin is unaffected.
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A nurse is showing a group of clients the correct way to move their body parts during their daily exercise regimen at a health care facility. Which of the following effects occurs when a person adheres to proper body mechanics?
A) Reduced skin breakdown B) Increased peripheral blood perfusion C) Reduced range of motion D) Increased muscle effectiveness
The nurse is working with a patient who says he is hearing voices, and they are louder than they have been in the past. The patient has a history of taking phenothiazines but has not taken his medication for a few days
Which psychotic disorder does this patient have? a. Manic-depression b. Chronic depressive behavior c. Schizophrenia d. Acute depression
The responsibility to articulate the business case for evidence-based practice to governing boards lies with:
a. the staff nurse. b. senior leadership. c. the nurse manager. d. the quality improvement committee.
Daisy requires valvular surgery. Her partner and family live in a remote Aboriginal community, a 15-hour drive from the city. What support services and resources will her partner and baby need in order to adjust as a family with Daisy requiring a long hospital stay in the city as an inpatient?
What will be an ideal response?