The nurse has been assigned the following patients. Which patients require assessment of blood glucose control as a nursing priority? (Select all that apply.)
a. 18-year-old male who has undergone surgical correction of a fractured femur
b. 29-year-old female who is undergoing evaluation for pheochromocytoma
c. 43-year-old male with acute pancreatitis who is receiving total parenteral nutrition (TPN)
d. 62-year-old morbidly obese female who underwent a hysterectomy for ovarian cancer
e. 72-year-old female who is receiving intravenous (IV) steroids for an exacerbation of chronic obstructive pulmonary disease (COPD)
B, C, D, E
Risk factors for development of stress-induced hyperglycemia are a prior history of diabetes or hyperglycemia; obesity; pancreatitis; cirrhosis; glucocorticoids; excess epinephrine; advanced age; nutrition support; and various medications. The young male with the fractured femur is at low risk for stress-induced hyperglycemia.
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The humoral theory of disease embraced by Hippocrates required a balance of which elements? (Select all that apply.)
a. Fire b. Water c. Light d. Air e. Earth
Which teaching, included in the plan of care for a patient who has type 1 diabetes mellitus, would be most effective in reducing the development of complications?
1. Self-monitoring of blood glucose levels 2. Effective foot care 3. Importance of early eye exam 4. Avoidance of simple carbohydrates in the diet
The nurse prepares medication for the assigned clients. Which client receives oral medications from the nurse?
1. Having bronchoscopy now 2. Requires gastric suctioning 3. Has an esophageal stricture 4. Has many diarrhea episodes
The nurse is busy and neglects to give a drug to a patient resulting in the patient's death. What offense does this represent?
a. Malfeasance b. Malpractice c. Misfeasance d. Nonfeasance