Describe fully the process of insulin resistance
The cause of insulin resistance is still unknown but many theories predominate. Probably there is more than one reason. Genetics can play a role, as can excess weight and lack of exercise. Some medications can also cause insulin resistance, particularly adrenal steroid hormones. Insulin resistance also increases if blood glucose stays high for an extended period of time. This causes a condition known as glucotoxicity. For whatever the reason, when insulin resistance occurs, the normal amount of insulin secreted by the pancreas is not able to allow glucose to enter into cells. To maintain a normal blood glucose, the pancreas secretes additional insulin. In many cases this is still sufficient for glucose to enter cells and hyperinsulinemia and hyperglycemia result.
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The nurse is caring for the newborn of a diabetic mother. Which of the following should be included in the nurse's plan of care for this newborn?
1. Offer more frequent feedings. 2. Administer an intravenous infusion of glucose. 3. Assess for hypercalcemia. 4. Assess for hyperbilirubinemia immediately after birth.
Naturalistic qualitative research typically:
A) Involves deductive processes B) Attempts to control the research context to better understand the phenomenon being studied C) Takes place in the field D) Focuses on the idiosyncrasies of those being studied
Which of the following best describes the ultimate goal of program planning?
a. Avoid unanticipated conflicts in the program development phase b. Provide adequate funding to meet the program's resource requirements c. Ensure that health care services are acceptable, equal, effective, and efficient d. Prevent unnecessary duplication of services
A nurse is assessing a patient who has peptic ulcer disease. The patient requests more information about the typical causes of Helicobacter pylori infection. What would it be appropriate for the nurse to instruct the patient?
A) Most affected patients acquired the infection during international travel. B) Infection typically occurs due to ingestion of contaminated food and water. C) Many people possess genetic factors causing a predisposition to H. pylori infection. D) The H. pylori microorganism is endemic in warm, moist climates.