A 78-year-old patient with type 2 diabetes is brought to the emergency department by his daughter. The patient is found to have a blood glucose level of 623 mg/dL
The patient's daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. A diagnosis of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is made. What nursing action would be the priority?
A) Administering antihypertensive medications
B) Administering sodium bicarbonate intravenously for low bicarbonate levels
C) Reversing acidosis by administering insulin
D) Replacing fluids and electrolytes
D
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A hospital director of nursing (DON) establishes a hospital-wide committee to process the Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" and to create unit-based activities that support its
recommendations. A unit manager asks about the importance of the endeavor. What response by the DON is best? a. If nursing doesn't change with the times, the future of the discipline is threatened. b. Nursing has to remodel itself according to the mandates of the report. c. Operationalizing the report allows nurses to drive health care reform. d. Patient safety will be adversely affected if nursing doesn't transform itself.
What does diabetes retinopathy result from?
a. Capillaries in retina hemorrhage b. Long-term overdosing of insulin c. Retinal detachment d. Aging
When caring for a client with acute bronchitis, which findings indicate a viral infection?
A) A severe and prolonged cough B) A cough that produces copious amounts of sputum C) Finding of increased lung density (consolidation) on the chest x-ray D) The cough only lasts several hours
A client states "Nothing works! I'll always be overweight." You reply with "You are frustrated with the methods you've tried in the past to lose weight." What type of response is this?
a. attributing b. clarifying c. interpreting d. probing