A 38-year-old woman, with no history of diabetes, has an elevated blood glucose level on the first postoperative day following an elective hysterectomy. Which response should the nurse give the patient?
A) "This means that you are at risk for developing diabetes."
B) "You probably have diabetes but did not know it."
C) "This is a normal stress response following surgery."
D) "Do you have a family history of diabetes?"
C) "This is a normal stress response following surgery."
Explanation: A) The presence of stress, either physical (such as postoperative or posttraumatic) or psychological, can lead to elevations in blood glucose level. Such elevations do not mean that the patient had developed diabetes; they indicate transient elevations due to the release of cortisol influencing the production and release of glucose.
B) The presence of stress, either physical (such as postoperative or posttraumatic) or psychological, can lead to elevations in blood glucose level. Such elevations do not mean that the patient had developed diabetes; they indicate transient elevations due to the release of cortisol influencing the production and release of glucose.
C) The presence of stress, either physical (such as postoperative or posttraumatic) or psychological, can lead to elevations in blood glucose level. Such elevations do not mean that the patient had developed diabetes; they indicate transient elevations due to the release of cortisol influencing the production and release of glucose.
D) The presence of stress, either physical (such as postoperative or posttraumatic) or psychological, can lead to elevations in blood glucose level. Such elevations do not mean that the patient had developed diabetes; they indicate transient elevations due to the release of cortisol influencing the production and release of glucose.
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