A patient experiencing shock is demonstrating an increase in blood glucose level. The nurse realizes that this assessment finding is because of
1. high volume dextrose 5% and water intravenous infusions.
2. undiagnosed diabetes mellitus.
3. The kidneys conserving water.
4. the liver mobilizing stored glucose for the body's energy needs.
3
Rationale: Within the fight-or-flight syndrome, one physiological response to shock is increased gluconeogenesis. This is the liver mobilizing glucose to be used by the body for energy which will result in an increase in the patient's blood glucose level. The elevated glucose level is not due to high volume dextrose 5% intravenous infusions. The patient does not have undiagnosed diabetes mellitus. An increase in blood glucose level does not occur because the kidneys are conserving water.
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1. "I have no control over what the nurses do on their time away from work." 2. "This does not meet the standards for bullying because it was not a face-to-face encounter." 3. "You two are acting like a couple of high school kids." 4. "I will follow up on this complaint and take action as needed."
Which statements accurately describe education of informatics nursing specialists (select all that apply)?
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