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A nurse at a provider's office is caring for a 32-year-old female client.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should prepare to reinforce teaching with the client about a

with a prescription of .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

The nurse should prepare to reinforce teaching with the client about a diabetic diet with a prescription of insulin therapy.

So, correct options are:

  1. A. diabetic diet
  2. A. insulin therapy
  3. Diabetic diet:
    1. The client has a history of gestational diabetes mellitus (GDM) during her previous pregnancy and is currently experiencing elevated blood glucose levels, as indicated by the oral glucose tolerance test and fasting glucose levels.
    2. A diabetic diet is essential to help manage blood glucose levels and prevent complications for both the mother and the baby.
  4. Insulin therapy:
    1. The client is already adhering to a diabetic diet and is taking insulin as prescribed, indicating that insulin therapy is part of her current management plan.
    2. Her glucose levels are still elevated despite dietary management, which means insulin therapy is necessary to maintain optimal glucose levels and reduce the risk of complications associated with GDM.


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Related Questions

Correct Answer is []

Explanation

Endometritis is indicated by a high temperature (38.4°C), elevated heart rate (108/min), foul-smelling lochia, and a tender boggy uterus. These are classic signs of infection post-cesarean birth, particularly following prolonged rupture of membranes, which increases infection risk. Administering broad-spectrum antibiotics targets the infection, while oxytocic medication helps manage uterine atony and promote uterine contraction to expel infected lochia.

Actions Explanation:

  1. Administer broad-spectrum antibiotic medication: This addresses the underlying infection causing endometritis.
  2. Monitor the administration of an oxytocic medication: Ensures uterine contraction, reducing uterine atony and helping clear infected materials.

Parameters to Monitor:

  1. Temperature: Indicates the presence and resolution of infection.
  2. Lochia amount and odor: Helps assess the severity of infection and effectiveness of treatment.

Other Conditions:

  • B. Urinary tract infection (UTI): Less likely since the client denies urinary symptoms like burning or difficulty.
  • C. Deep vein thrombosis (DVT): Bilateral lower extremity edema without pain, warmth, or tenderness doesn't align with unilateral swelling/pain typical of DVT.
  • D. Engorgement: Not likely since the client is bottle-feeding and denies nipple discomfort; also, the lochia characteristics and boggy uterus point to infection.

Correct Answer is A

Explanation

Choice A rationale

"Decreased BP.”. This is correct because hyperemesis gravidarum can lead to dehydration, which in turn can cause hypotension (decreased blood pressure).

Choice B rationale

"WBC count 15,000/mm³ (5,000 to 15,000/mm³).”. This is incorrect because while WBC count can be elevated due to stress or infection, it is not a primary manifestation of hyperemesis gravidarum.

Choice C rationale

"Pruritus.”. This is incorrect because pruritus is not commonly associated with hyperemesis gravidarum. It is more likely related to other conditions like cholestasis of pregnancy.

Choice D rationale

"Hemoglobin 18 g/dL (11 to 16 g/dL).”. This is incorrect because an elevated hemoglobin level is not a direct manifestation of hyperemesis gravidarum, although dehydration can potentially concentrate blood components and slightly elevate hemoglobin.

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