A client in the ICU has shock and is getting blood glucose levels drawn and treatment with subcutaneous insulin. The client's spouse is upset seeing this and says "Now s/he's a diabetic, too?" The best response by the nurse is
a. "Blood sugar goes up with physical stress and insulin controls it, and clients seem to do better."
b. "High blood sugar is a common side effect of all these medications we are giving the client."
c. "No, no, s/he is not yet a diabetic. I hope we can prevent it by giving insulin now."
d. "Under great physical stress, blood glucose elevates and people can become di-abetic."
A
Research has shown a significant decrease in mortality and morbidity in ICU clients when insulin is given to maintain tight glycemic control.
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