A pregnant female patient presented with complaints of incontinence, polydipsia, and polyphagia. The patient had a 2-week-old, non-healing wound that became infected. An A1C test showed 8.5% of blood glucose attached to hemoglobin. The wound was cleaned and dressing was applied.
Which condition is indicated by the description?
Gestational thrombocytopenia
Gestational diabetes mellitus
Gestational hypertension
Hyperemesis gravidarum
The Correct Answer is B
A. Gestational thrombocytopenia:
Gestational thrombocytopenia involves low platelet counts during pregnancy. Symptoms: Easy bruising or bleeding- not polydipsia, polyphagia, or poor wound healing. No relationship to elevated blood glucose.
B. Gestational diabetes mellitus: Gestational diabetes is high blood sugar that develops during pregnancy. Classic signs: polydipsia, polyphagia and polyuria. Non-healing wounds and infection risk due to impaired immunity and circulation. A1C of 8.5% clearly indicates poor glycemic control.
C. Gestational hypertension: High blood pressure during pregnancy. Symptoms: Headache, visual changes, swelling, not polydipsia, polyphagia, or infection.
D. Hyperemesis gravidarum: This causes severe nausea and vomiting during pregnancy leading to dehydration, electrolyte imbalances, and weight loss, but not high glucose or wound issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Isotonic: An isotonic solution has the same solute concentration as blood plasma; thus, 0.9% NaCl does not cause cells to shrink or swell.
B. Exotonic: "Exotonic" is not a recognized term in fluid balance or physiology.
C. Hypotonic: A hypotonic solution (like 0.45% NaCl) has a lower solute concentration than blood, causing water to move into cells, possibly leading to swelling.
D. Hypertonic: A hypertonic solution (like 3% NaCl) has a higher solute concentration than blood, causing water to leave cells and leading to cell shrinkage.
Correct Answer is C
Explanation
A. Breast cancer:
Cryoablation is not a first-line treatment for breast cancer, though it may be used in some instances for specific benign breast conditions or small, early-stage tumors.
B. Testicular cancer:
Cryoablation is not typically used for testicular cancer. Surgical removal or chemotherapy are more common treatments.
C. Prostate cancer:
Cryoablation (or cryosurgery) is sometimes used to treat prostate cancer, especially for localized cancers, by freezing and destroying cancer cells.
D. Ovarian cancer:
Ovarian cancer is treated with surgery, chemotherapy, or targeted therapy, but not with cryoablation.
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