The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen. The patient is receiving total parenteral nutrition (TPN). The physician has prescribed insulin coverage on a sliding scale
The patient reports he has never had diabetes before. What response by the nurse is indicated? a. "It is likely you have developed diabetes as a result of your illness."
b. "Do you have a family history for di-abetes?"
c. "The TPN you are receiving has high amounts of glucose."
d. "Insulin is needed to manage your sto-mach's inability to adequately metabolize food at this time."
C
People on TPN are prone to hyperglycemia from the high glucose content of the solution.
You might also like to view...
The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates:
a. Pinworms. b. Chickenpox. c. Constipation. d. Bacterial infection.
The nurse is caring for a patient who has been intubated with an oral endotracheal tube for several weeks. The physicians predict that the patient will need to remain on a ventilator for at least several more weeks before
he will be able to maintain his airway and breathe on his own. What procedure does the nurse anticipate will be planned for the patient to facilitate his recovery? a. Placement of a tracheostomy tube b. Diagnostic thoracentesis c. Pulmonary angiogram d. Lung transplantation surgery
Hospitals in the United States have what forms of ownership? (Select all that apply.)
1. Sick fund hospitals 2. Public 3. Socialized 4. Private for-profit 5. Private nonprofit
Which of the following drugs is contraindicated in asthma patients?
A. Digitalis B. Propranolol C. Calcium chloride D. Epinephrine