A patient with a history of Cushing’s syndrome is being admi…
A patient with a history of Cushing’s syndrome is being admitted for acute management of multiple contusions and lacerations following a motor vehicle accident. Morning serum lab values are BUN 30 mg/dL, creatinine 1.0 mg/dL, sodium 148 mEq/L, potassium 4.8 mEq/L, chloride 108 mEq/L, and cortisol 29 mcg/dL. This patient’s TWO highest-priority nursing diagnoses are:
Read DetailsAn 8-month old infant born outside of the United States is b…
An 8-month old infant born outside of the United States is brought to the endocrine clinic with symptoms of musty body odor, seizures, and an eczema-like rash. The infant is tested for phenylketonuria (PKU) and diagnosis is positive. In planning nursing care for this infant, the nurse will anticipate:
Read DetailsA patient with type 2 diabetes mellitus, which was previousl…
A patient with type 2 diabetes mellitus, which was previously controlled with an oral antidiabetic agent, is hospitalized for treatment of a leg ulcer. The health care provider has ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings the injection into the room, and the patient becomes upset stating “I don’t want to start taking that drug! I’ll need it the rest of my life.” What is the nurse’s best response?
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