Liability
What will be an ideal response?
Legal responsibility
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A patient who is currently in the hospital recovering from orthopedic surgery has always considered herself to be a "borderline diabetic" who prides herself on maintaining acceptable blood glucose levels through diet and lifestyle modifications
Consequently, she is surprised that her primary care provider has ordered a sliding scale of insulin while she is in the hospital. Why might this patient require insulin at this particular time? A) Fluid and electrolyte changes surrounding surgery may increase her blood sugar levels. B) Immobility may cause decreased thyroid hormone levels, decreased metabolic demand, and consequent increased blood sugar. C) The stress of hospitalization and surgery may cause increased release of glucocorticoids. D) The action of anesthetic may temporarily blunt the normal release of endogenous insulin by the patient's pancreas.
The client is scheduled to be treated with Oxytocin by nasal spray. The nurse plans to administer the drug:
a. 2 to 3 minutes after the client nurses her baby. b. 2 to 3 minutes before the client nurses her baby. c. after delivery of the placenta. d. as delivery of the placenta is imminent.
The student nurse does an operating room rotation and notes that many patients receive succinylcholine (Anectine). The student nurse asks the nursing instructor how the drug works. What is the best response by the nursing instructor?
1. "It causes the patient to rapidly lose consciousness." 2. "It increases cardiac output by raising the heart rate." 3. "It interferes with impulse transmission, resulting in total anesthesia from the pain of surgery." 4. "It reduces the amount of general anesthetic needed for procedures."
A nurse can best communicate to a patient an interest in listening by:
a. restating the feeling or thought the patient has expressed. b. asking a direct question, such as "Do you feel guilty?" c. expressing an opinion about the patient's problem. d. saying "I understand what you're saying."