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The nurse has reviewed the nurses' notes at 0940, vital signs at 0945, and laboratory reports at 1020.

For each assessment finding, click to specify if the finding is consistent with diabetes, pancreatitis, or hyperthyroidism. Each finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

A.

Weight

B.

Heart rate

C.

T3 level

D.

Blood glucose

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Diabetes:
• Weight
• Blood glucose

Pancreatitis:
• None

Hyperthyroidism:
• Heart rate
• T3 level

Rationale:

• Weight: The client has experienced unintended weight loss, which is a common symptom of diabetes due to the body's inability to use glucose effectively, leading to fat and muscle breakdown.

• Heart rate: Tachycardia is a hallmark of hyperthyroidism due to increased metabolic activity and sympathetic nervous system stimulation.

• T3 level: The T3 level is within the normal range but on the higher end, which can still support hyperthyroidism when considered with other clinical findings.

• Blood glucose: An elevated blood glucose level of 250 mg/dL is consistent with diabetes, as normal fasting levels are below 106 mg/dL.


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Related Questions

Correct Answer is D

Explanation

Apply dressing to foot wound: While wound care is important, managing hyperglycemia takes priority. High blood glucose impairs wound healing and increases infection risk, making insulin administration the more urgent intervention. Dressing application should follow glycemic control measures.

Consult outpatient wound care specialist: A wound care consultation is appropriate for managing a chronic ulcer, but immediate intervention is required to stabilize glucose levels. Optimizing wound care should come after initial glucose management.

Schedule appointment with ophthalmologist: Clients with diabetes require routine eye exams due to the risk of diabetic retinopathy. However, addressing hyperglycemia and preventing further infection are more urgent concerns at this time.

Administer regular insulin 4 units subcutaneously x 1 dose: The client's blood glucose is elevated (250 mg/dL), which can impair immune function and tissue healing. Lowering glucose with insulin is the priority to prevent complications such as worsening infection or ketoacidosis.

Correct Answer is C

Explanation

A. "I cook my partner's favorite foods.": Preparing meals can be a way to show love and care, but it does not necessarily indicate effective coping. It may serve as a distraction, but it does not address emotional or social well-being.

B. "I make a list of all the things I need to do.": Creating lists can help with organization, but it does not directly reflect emotional coping. It may indicate a focus on tasks rather than emotional processing or seeking support.

C. "I have lunch with my friends once a week.": Maintaining social connections is a sign of effective coping, as it provides emotional support and an opportunity to share feelings. Engaging in enjoyable activities outside of caregiving responsibilities helps reduce stress.

D. "I am unable to fall asleep right away.": Difficulty sleeping is a common response to stress but suggests ongoing emotional distress rather than effective coping. Persistent sleep disturbances may require further assessment and support.

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