A patient asks the nurse if stress can be a potential cause of type 2 diabetes. Which response is most appropriate for the nurse to make?
a. "Stress decreases the number of alpha cells in the pancreas, and increases the workload on the beta cells."
b. "Periods of stress cause increases in gly-cogen production by the adrenal cortex."
c. "Stress is directly associated with de-creased insulin tolerance."
d. "The inhibition of beta cells to glucose is increased in periods of stress."
B
Stress stimulates the adrenal cortex to release glucocorticoids, which can cause hyperglycemia.
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An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
A) Hang the drug by piggyback with lactated Ringer's and infuse over several hours to minimize the risk of infusion reaction B) Infuse the drug over 2 to 4 hours into a central line using an infusion pump C) Flush the patient's central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes. D) Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight.
Before administering a furosemide (Lasix) to a client, which of the following laboratory values should the nurse assess?
1. White blood cell count 2. K+ (potassium) 3. Prealbumin 4. Platelet
When ambulating a person, you stand:
a. In front of the person b. In back of the person c. To the side and slightly behind the person d. Where the person chooses
The nurse notes that a client has xanthelasma during an assessment. Which cardiovascular condition should the nurse suspect?
A. Diabetes. B. Elevated cholesterol. C. Premature atherosclerosis. D. Liver disease.