An intensive care nurse recognizes that there are numerous factors that contribute to a risk of unstable blood glucose levels in the acutely ill patient
When planning care for patients in the ICU, what goal for blood glucose levels is appropriate for the majority of patients?
A) 80 to 110 mg/dL
B) 95 to 115 mg/dL
C) 105 to 130 mg/dL
D) 120 to 145 mg/dL
A
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A woman in the perinatal clinic is upset that her impending childbirth will cause her to lose her job. What assessment question by the nurse would yield the most important information regarding this situation?
A. "After you give birth, you will probably want to quit your job anyway." B. "Can you make an appointment with human resources to discuss this?" C. "Where do you work and how long have you been there?" D. "Why do you think you will be fired after your baby is born?"
A 52-year-old female patient is receiving care on the oncology unit for breast cancer that has metastasized to her lungs and liver
When addressing the patient's pain in her plan of nursing care, the nurse should consider what characteristic of cancer pain? A) Cancer pain is often related to the stress of the patient knowing she has cancer and requires relatively low doses of pain medications along with a high dose of anti-anxiety medications. B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of pain medications. D) Cancer pain is often misreported by patients because of confusion related to their disease process.
A child has been diagnosed with chronic myelogenous leukemia (CML). Which statement by the nurse to the parents is most appropriate?
A. "Radiation therapy is the standard treatment." B. "The prognosis for this disease is extremely poor." C. "There are lots of good medications for nausea." D. "We need to test siblings for a bone marrow match."
For which older patient should the nurse suspect a decline in the responsiveness of the immune system?
1. 78-year-old patient with pneumonia and temperature of 99.5°F 2. 68-year-old patient with a red itchy rash from contact with poison ivy 3. 80-year-old patient with swelling and redness around an abdominal incision 4. 66-year-old patient with 8 mm induration from a mumps skin test 72 hours earlier