Author Question: Immobilized patients are affected by changes in their metabolic rate. Therefore nurses need to ... (Read 57 times)

Mollykgkg · **on:** Jul 22, 2018

Immobilized patients are affected by changes in their metabolic rate. Therefore nurses need to monitor:

A. increased serum glucose levels.
B. decreased serum calcium levels.
C. positive nitrogen balance.
D. increases in serum potassium levels.

Question 2

A nurse has been promoted to nurse manager. This new nurse manager can foster the decentralized decision-making model by ___________________ _.

Fill in the blank(s) with correct word

coyin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
In the immobilized patient, a major shift in blood volume occurs, which causes diuresis. Diuresis causes the body to lose electrolytes, such as potassium and sodium. Diuresis also affects serum calcium levels, which results in an increase in calcium loss from the bones, causing a release of excess calcium into circulation (hypercalcemia). When the body is unable to metabolize glucose, it begins to break down protein stores for energy. Nitrogen balance provides a reliable indicator of protein use by the body. Negative nitrogen balance exists when the excretion of nitrogen from the breakdown of protein exceeds intake.

Answer to Question 2

supporting interdisciplinary collaboration

Decentralized management occurs when decision-making is moved to the level of staff. A successful decentralized nursing unit exercises three elements of decision-making on an ongoing basis. Responsibility, authority, and accountability are important.