EBK HUMAN ANAT.+PHYSIOLOGY
EBK HUMAN ANAT.+PHYSIOLOGY
11th Edition
ISBN: 9780134807362
Author: Marieb
Publisher: PEARSON CO
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Chapter 16, Problem 1CCS

70-Year-Old Male with Polyuria

Mr. Gutteman, a 70-year-old male, was brought into the ER. He had been sick several days with the flu, and was found confused and barely conscious by his daughter.

Chapter 16, Problem 1CCS, 70-Year-Old Male with Polyuria Mr. Gutteman, a 70-year-old male, was brought into the ER. He had

Mr. Gutteman is breathing rapidly and has a fever of 39°C (102°F). His skin is dry and flaccid, his mucous membranes are dry, and his eyes are sunken. The physician ordered:

•IV (intravenous) fluid and electrolyte replacement

•Blood and urine tests for presence of glucose and ketones

•Strict I&O [careful measurement of fluid intake (e.g., IV, drinking) and output (e.g., urine)]

1. NCLEX-STYLE You would expect high levels of blood glucose and the presence of glucose and ketones in Mr. Gutteman's urine if:

a. His pancreas is secreting too much insulin

b. His liver is secreting too little insulin

c. His pancreas is secreting too little insulin

d. His liver is secreting too much glucagon

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