A client with gestational diabetes is prescribed insulin therapy.
The nurse is educating the client on proper insulin administration techniques.
Which of the following instructions should the nurse provide?
"Inject insulin directly into the umbilical area for optimal absorption.".
"Dispose of needles in a regular trash bin after use.".
"Rotate injection sites to ensure consistent insulin absorption.".
"Store insulin vials in the freezer to maintain potency.".
The Correct Answer is C
The correct answer is choice C. The nurse should instruct the client to rotate injection sites to ensure consistent insulin absorption. Rotating injection sites helps prevent lipodystrophy, which is a condition that affects the subcutaneous fat tissue and can impair insulin absorption.
Choice A is wrong because injecting insulin directly into the umbilical area is not recommended for pregnant clients, as it may cause irritation or infection of the umbilical cord.
Choice B is wrong because needles should be disposed of in a puncture-resistant container, not in a regular trash bin, to prevent needlestick injuries.
Choice D is wrong because insulin vials should be stored in the refrigerator, not in the freezer, to maintain potency. Freezing can damage the insulin molecules and reduce their effectiveness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of high blood pressure and preeclampsia, a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten both the mother’s and the baby’s life.
Choice A is wrong because preterm labor is not directly caused by gestational diabetes, although it may be done to prevent complications from preeclampsia or a large baby.
Choice C is wrong because ectopic pregnancy is not related to gestational diabetes.Ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube.
Choice D is wrong because placenta previa is not associated with gestational diabetes.Placenta previa occurs when the placenta covers part or all of the opening of the cervix.
Correct Answer is B
Explanation
The correct answer is
B. Preeclampsia.
Preeclampsia is a condition that causes high blood pressure and protein in the urine during pregnancy.It can lead to serious complications for the mother and the baby, such as seizures, organ damage, growth restriction, and placental abruption.
Advanced maternal age (35 years or older) is one of the risk factors for preeclampsia.Other risk factors include chronic hypertension, kidney disease, diabetes, obesity, multiple gestation, and history of preeclampsia.
A. Gestational diabetes.
Statement is wrong because gestational diabetes is a condition that causes high blood sugar levels during pregnancy.
It can affect the health of the mother and the baby, such as increasing the risk of macrosomia, cesarean delivery, hypoglycemia, and future diabetes.
However, advanced maternal age is not a major risk factor for gestational diabetes.
The main risk factors are obesity, family history of diabetes, previous gestational diabetes, and certain ethnicities.
C. Preterm labor.
Statement is wrong because preterm labor is when contractions start before 37 weeks of pregnancy and lead to cervical changes.
It can result in premature birth, which can cause health problems for the baby, such as breathing difficulties, bleeding in the brain, and infections.
Advanced maternal age is not a direct risk factor for preterm labor.
The main risk factors are multiple gestation, history of preterm birth, cervical insufficiency, infection, placental problems, and certain medical conditions.
D. Placenta previa.
Statement is wrong because placenta previa is when the placenta covers part or all of the cervix.
It can cause painless vaginal bleeding during pregnancy and delivery complications, such as hemorrhage and cesarean delivery.
Advanced maternal age is not a strong risk factor for placenta previa.
The main risk factors are previous cesarean delivery, multiple gestation, smoking, and previous uterine surgery.
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