Which assessment finding should the nurse expect to observe on an immobilized patient?
a. Increased serum glucose levels
b. Decreased urine excretion
c. Positive nitrogen balance
d. Increased serum potassium levels
A
A patient's basal metabolic rate (BMR) decreases in response to reduced cellular energy because of the body's decreased ability to produce insulin and metabolize glucose. In the immobilized patient, a major shift in blood volume occurs, which causes diuresis (increased urine excretion). Diuresis causes the body to lose electrolytes, such as potassium and sodium. When the body is unable to metabolize glucose, it begins to break down protein stores for energy, resulting in negative nitrogen balance, not positive.
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Significant penalties imposed by HIPAA for the “unauthorized acquisition, access, use, or disclosure of PHI which compromises the security or privacy of such information.” (American recovery and Reinvestment Act of 2009).
Indicate whether the statement is true or false.