Author Question: The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection ... (Read 38 times)

SAVANNAHHOOPER23 · **on:** Jun 25, 2018

The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection by a(n) ____________ organism, such as Pseudomonas or Staphylococcus.

Fill in the blanks with correct word

Question 2

The nurse is caring for a patient who struggles to maintain glycemic control at night and during early morning hours. Which statement correctly explains the reason for this problem?

a. Counterregulatory hormones produce hyperglycemia.
b. Hyperglycemia of dawn phenomenon does not react to insulin.
c. Hypoglycemia quickly follows the dawn phenomenon.
d. Food intake fails to change hyperglycemia of dawn phenomenon.

ndhahbi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

aerobic

A musty odor from the wound drainage is indicative of an infection by an aerobic microorganism such as Pseudomonas or Staphylococcus.

Answer to Question 2

A
Dawn phenomenon is produced in the morning by the circadian release of growth hormones, ep-inephrine, and glucagon during the night. Rebound hyperglycemia, also known as the Somogyi effect, follows a period of hypoglycemia, often during sleep. When hypoglycemia occurs, the body secretes glucagon, epinephrine, growth hormone, and cortisol to counteract the effects of low blood sugar. The patient may report nightmares and night sweats along with morning ele-vated serum glucose; if the patient increases the insulin dose, it worsens the problem. The dawn phenomenon is characterized by elevated blood glucose in the morning and is caused by release of growth hormone, glucagon, and epinephrine during the night, as part of the body's natural circadian rhythm. These hormones act to raise the body's blood sugar. The dawn phenomenon is the reason why most people with diabetes do not tolerate carbohydrates well in the morning. The treatment is an intermediate-acting insulin at night.