The nurse is caring for a patient who was hospitalized with ketosis. The nurse recognizes that the patient correctly understands the phenomenon when she reports what about the condition?
a. "I had taken too much insulin to decrease my body's levels of glucose."
b. "The condition resulted when my body tried to break down and use my stores of fats."
c. "When my blood glucose goes over 150 mg/dL, I am at risk for this condition."
d. "I was exercising too much and had too sharp reductions in my blood glucose lev-el."
B
Persons with type 1 diabetes are more prone to a serious complication, ketosis, associated with an excess production of ketone bodies, leading to ketoacidosis (metabolic acidosis). When the glucose level gets too high the body attempts to metabolize fats for energy, and the result is a buildup of ketone bodies.
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The pediatric nurse is caring for a child with biliary atresia. The nurse knows that the signs and symptoms of this disease include:
Select all answers that apply. A) pruritus. B) jaundice. C) dark urine. D) dark stools.
A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?
A) Change the needle daily with each injection. B) Rotate the site with each injection. C) Apply local anesthetic to the injection site. D) Massage the injection site for 10 minutes.
A patient taking montelukast (Singulair) for the last 2 months has the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
a. White blood cell count of 10,500 cells/mm3 b. Lactate dehydrogenase 950 IU/L c. Potassium 3.6 mEq/L d. Hematocrit 32%
A 70-year-old male nursing home resident developed a dermal pressure ulcer. This condition is most often caused by (select all that apply):
a. Shearing forces b. Friction c. Moisture d. Unrelieved pressure e. High-carbohydrate diet