A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia.

The nurse should use which of the following routes to administer the glucose?

Sublingual

Buccal

Oropharyngeal

Nasogastric

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Sublingual.

The nurse should use the sublingual route to administer the glucose, which means placing the glucose under the tongue of the woman. This route allows for faster absorption of glucose into the bloodstream than the oral route, which involves swallowing the glucose. This is especially important for a pregnant woman with gestational diabetes and hyperglycemia, who needs to lower her blood sugar levels quickly to avoid complications for herself and her baby.

Choice B. Buccal is wrong because it means placing the glucose inside the cheek against the buccal mucosa. This route has been shown to result in a lower plasma glucose concentration than the oral route, which is not desirable for a woman with hyperglycemia.

Choice C. Oropharyngeal is wrong because it means placing the glucose in the back of the mouth near the throat. This route is not recommended for glucose administration because it can cause choking or aspiration.

Choice D. Nasogastric is wrong because it means inserting a tube through the nose into the stomach and delivering the glucose through the tube. This route is invasive and unnecessary for glucose administration, unless the woman is unable to take glucose by mouth.

Normal ranges for blood glucose levels during pregnancy are 3.5 to 5.9 mmol/l before meals and less than 7.8 mmol/l one hour after meals.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

The correct answer is choice D. Lispro insulin.

Lispro insulin is a rapid-acting insulin that can be injected 15 minutes before a meal to lower blood sugar.It is safe and effective for pregnant women with gestational diabetes.

Choice A is wrong because regular insulin is a short-acting insulin that needs to be injected 30 minutes before a meal.It may not provide enough control over blood sugar levels during pregnancy.

Choice B is wrong because NPH insulin is an intermediate-acting insulin that has a peak effect several hours after injection.It may cause low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia) if not timed correctly with meals and snacks.

Choice C is wrong because glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day.

It cannot be mixed with other types of insulin

A. 160 mg/dL B. 175 mg/dL C. 185 mg/dL D. 200 mg/dL

Correct Answer is C

Explanation

The correct answer is choice C. 185 mg/dL.According to the Mayo Clinic, a blood sugar level of 190 mg/dL or higher indicates gestational diabetes.A blood sugar level below 140 mg/dL is usually considered normal.

Therefore, a blood sugar level of 185 mg/dL is above the normal range and below the diagnostic threshold for gestational diabetes.

Choice A is wrong because 160 mg/dL is within the normal range for the glucose tolerance test.

Choice B is wrong because 175 mg/dL is also within the normal range for the glucose tolerance test.

Choice D is wrong because 200 mg/dL is above the diagnostic threshold for gestational diabetes.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following routes to administer the glucose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer insulin to a pregnant woman who has gestational diabetes. Which of the following types of insulin should the nurse use?

Correct Answer is D

Explanation

A nurse is interpreting the results of a glucose tolerance test for a pregnant woman who was screened for gestational diabetes. The nurse should recognize that the woman has gestational diabetes if her blood glucose level is which of the following at 1 hour after drinking the sugary drink?

Correct Answer is C

Explanation

A nurse is providing education to a pregnant woman who has gestational diabetes and wants to know how to prevent symptoms of hyperglycemia. Which of the following instructions should the nurse include?

A nurse is teaching a client with gestational diabetes about the importance of attending regular prenatal appointments. Which of the following statements accurately reflects the rationale behind this recommendation?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a meal. The nurse notes that the woman has a blood glucose level of 200 mg/dL. Which of the following actions should the nurse take?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

A nurse is providing education to a pregnant client of Middle Eastern origin. The nurse explains that which factor increases the client's risk of developing gestational diabetes?

The long-term implications of gestational diabetes primarily include an increased risk of developing

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is administering insulin to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following types of insulin to provide rapid-acting blood glucose control?

A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia.

The nurse should use which of the following routes to administer the glucose?