Complete the following sentence by choosing from the list of options. Exhibits The nurse should first address the patient's dropdown followed by the client's dropdown.
Explanation & Rationale
Hyperglycemia Infection Rationale for Correct Answers: Hyperglycemia: The patient’s glucose is critically elevated at 450 mg/dL, which can rapidly lead to diabetic ketoacidosis or hyperosmolar hyperglycemic state. Immediate intervention to lower blood glucose is essential to prevent severe complications. Infection: The patient has signs of infection, including elevated WBC and a right lower extremity ulcer. Infection can worsen hyperglycemia and delay healing, so addressing infection after stabilizing glucose is crucial. Rationale for Incorrect Options: Hypertension: While the patient has a history of hypertension, the current blood pressure (140/84) is not immediately life-threatening compared to hyperglycemia and infection risks. Hypertension management can follow stabilization. Neuropathy: Numbness and tingling indicate neuropathy, a chronic diabetic complication. This requires long-term management but is not urgent in this acute admission. Pain from the lower extremity ulcer: Pain is significant but secondary to managing hyperglycemia and infection, which are urgent threats to patient health. Decreased activity: Decreased activity is a contributing factor but not an immediate concern requiring direct intervention before hyperglycemia and infection.