Patient Data

Exhibits

The nurse is reviewing nurses' notes to determine if there are any variations. Click to highlight the findings that would indicate the client has developed a complication related to pregnancy.

The client is a 32-year-old multigravida at 28 weeks' gestation, who presents to the obstetrician's office for a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08

Kg) at 41 weeks gestation.

Client is at 28 weeks. She has been receiving prenatal care since 8 weeks' gestation. Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L). Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).

164 mg/dL (9.1 mmol/L)

fasting blood sugar of 168 (9.3 mmol/L)

two-hour postprandial of 220 mg/dL (12.2 mmol/L)

She has been receiving prenatal care since 8 weeks' gestation

She had one spontaneous abortion at 10 weeks' gestation

Obstetrical history reveals she has given birth three times

Answer and Explanation

The Correct Answer is ["A","B","C"]

The laboratory results show a fasting 1-hour glucose screen level of 164 mg/dL and a fasting blood sugar level of 168 mg/dL from a 3-hour oral glucose tolerance test, both of which are above the normal range. Additionally, a two-hour postprandial glucose level of 220 mg/dL is also elevated. These findings suggest the possibility of gestational diabetes mellitus (GDM), a condition of glucose intolerance that arises during pregnancy.

According to the American Diabetes Association, GDM is diagnosed if two or more plasma glucose levels meet or exceed certain thresholds, which include a fasting glucose concentration of 95 mg/dL, a 1-hour glucose concentration of 180 mg/dL, and a 2-hour glucose concentration of 155 mg/dL. The patient's values surpass these thresholds, indicating that further evaluation and management for GDM may be necessary.

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

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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 A

Explanation

A. The statement indicates that the client is swallowing the medication rather than inhaling it, which suggests improper use of the inhaler.

B. Difficulty inhaling and holding breath can occur with proper use but does not necessarily indicate incorrect technique.

C. While using the inhaler only when very short of breath may not be optimal management, it does not indicate incorrect use of the inhaler itself.

D. Shaking the inhaler before use is a correct technique to ensure proper medication delivery.

A. An older adult who is scheduled for foot amputation due to diabetes complications. B. An adult with alcoholism, cirrhosis, and hepatic encephalopathy. C. An older client who is one day postoperative with a colostomy for colon cancer. D. An adult who is one day postoperative for a laparoscopic cholecystectomy.

Correct Answer is D

Explanation

A. An older adult scheduled for foot amputation due to diabetes complications may have complex care needs requiring the expertise of an RN.

B. An adult with alcoholism, cirrhosis, and hepatic encephalopathy can present with unstable and complex health issues that require close monitoring by an RN.

C. An older client who is one day postoperative with a colostomy for colon cancer may require specialized care and education best provided by an RN.

D. An adult who is one day postoperative for a laparoscopic cholecystectomy is likely to have more predictable and routine care needs, making this client a suitable assignment for a PN under the supervision of an RN.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?

Correct Answer is D

Explanation

While conducting dietary teaching to the parent of an 11-month-old who was diagnosed with milk baby anemia, which food(s) should the nurse encourage the parent to offer the infant? Select all that apply.

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Exhibits The nurse is considering the possible etiology of the client's symptoms. Click to indicate if the listed assessment findings are consistent with benign prostate hyperplasia, urinary tract infections, or prostatitis. Each column must have at least one response option selected.

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?