Author Question: Increased patient acuity at the long-term care facility and recent staff resignations have increased ... (Read 49 times)

drink · **on:** Jul 11, 2018

Increased patient acuity at the long-term care facility and recent staff resignations have increased the nurse's workload over the last few months. Which actions would increase the nurse's self-care?

A) Resolving to work no more than one overtime shift per pay period.
B) Consciously setting limits on the amount of time spent with any given patient.
C) Documenting any lapses in care that result from the low staff ratio at the facility.
D) Asking the nurse manager to temporarily assign more unlicensed care providers to the facility.

Question 2

Which of the following statements best conveys the relationship between hyperglycemia and glycosuria in older adults?

A) Older adults' kidneys tolerate higher glucose levels, so hyperglycemia does not necessarily result in glycosuria.
B) Because older adults often display atypical signs and symptoms of diabetes, glycosuria coupled with hyperglycemia is considered the most accurate source of a definitive diagnosis.
C) Decreased renal filtration capacity in older individuals causes their urine to normally contain more glucose than younger adults'.
D) Glycosuria is considered a pathological finding in younger adults but a normal finding in older adults.

Beatricemm · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Feedback:
Putting limits on workload when possible can nurture relationships and self-care. Setting limits on patient interaction is contrary to the role of a nurse healer, and asking for assistance and documenting consequences of inadequate staffing may be appropriate responses to the situation at the facility but they do not directly foster the nurse's self-care.

Answer to Question 2

A
Feedback:
An increased renal threshold for glucose means that older adults with hyperglycemia will not necessarily have glycosuria. Hyperglycemia coupled with glycosuria is not, however, considered the most accurate source of diagnosis. Older adults' urine does not normally contain more glucose than younger people's and glycosuria is not considered a normal finding.