The nurse, working in the emergency department, receives a patient following a motor vehicle accident whose medical history is unknown with a blood glucose level of 325 mg/dL
What rationale does the nurse provide explaining this elevated blood glucose level? A) The patient's accident was caused by diabetic ketoacidosis (DKA).
B) The patient has not been taking the antidiabetic agent as prescribed.
C) The patient most likely just finished a meal.
D) The stress reaction caused an increase in blood sugar.
D
Feedback:
The stress reaction elevates the blood glucose concentration above the normal range. In severe stress situations, the blood glucose level can be very high (300 to 400 mg/dL). The body uses that energy to fight the insult or flee from the stressor. The patient may or may not be diabetic so this is not DKA, not an indication of medication noncompliance, and not an indication the patient had just eaten.
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