Author Question: The nurse is caring for an obese woman who was just diagnosed with type 2 diabetes. When developing ... (Read 63 times)

Starlight · **on:** Jul 23, 2018

The nurse is caring for an obese woman who was just diagnosed with type 2 diabetes. When developing this patient's plan of care, what is the priority nursing diagnosis?

A) Imbalanced nutrition: more than body requirements related to obesity
B) Risk for unstable blood glucose related to ineffective dosing of antidiabetic agents
C) Disturbed sensory perception related to glucose levels
D) Ineffective coping related to diagnosis and therapy

Question 2

When the nurse administers warfarin it is expected that the drug will have what effect on the body?

A) Decrease in production of vitamin Kdependentt clotting factors
B) Increase in prothrombin
C) Increase in vitamin Kdependent factors in the liver
D) Increase in procoagulation factors

sabina576 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
The priority with this patient is to address her obesity because losing weight may eliminate the problem. Depending on the agent that is ordered, there may be risk for unstable blood glucose and the patient may need support to cope with the diagnosis but these are not the priority concern. Disturbed sensory perception is not indicated to be a problem at this time.

Answer to Question 2

A
Feedback:
Warfarin, an oral anticoagulant drug, causes a decrease in the production ovitamin Kdependent clotting factors in the liver. The eventual effect is a depletion of these clotting factors and a prolongation of clotting times. It is used to maintain a state of anticoagulation in situations in which the patient is susceptible to potentially dangerous clot formation. It does not increase prothrombin, vitamin Kdependent factors in the liver, or procoagulation factors.