The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

This type of diabetes is caused by a decrease in endogenous insulin and/or increased insulin resistance.

This type of diabetes can be medication-induced or related to a medical condition such as pancreatic function or hormonal abnormalities.

Gestational diabetes is caused by the presence of antibodies to insulin so exogenous insulin is needed.

Gestational diabetes is a type of diabetes where glucose intolerance is often transitory.

Answer and Explanation

The Correct Answer is D

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

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Correct Answer is C

Explanation

A. Chocolate is actually a common trigger for migraines in some people, due to its caffeine content and the presence of other compounds that can provoke migraines. It’s better to avoid chocolate if it is a known trigger.
B. Oral contraceptives can sometimes trigger migraines in women, especially those with a history of migraines. The hormonal fluctuations associated with oral contraceptive use can be a potential trigger for some individuals.
C. Maintaining a regular sleep schedule is an important lifestyle change for migraine prevention. Irregular sleep patterns or poor-quality sleep are common triggers for migraines. A consistent sleep routine helps regulate the body’s circadian rhythms and may help reduce migraine frequency.
D. Bright lighting can actually trigger migraines in some people. It’s better to avoid glare and use softer, dimmer lighting, especially in environments where you spend a lot of time.

A. With a glass of milk. B. On a full stomach. C. With orange juice. D. Two hours before a meal.

Correct Answer is D

Explanation

A. Milk contains calcium, which can interfere with the absorption of levothyroxine and decrease its effectiveness. It is not recommended to take it with milk.
B. Levothyroxine should be taken on an empty stomach for optimal absorption. Taking it with food, especially on a full stomach, may reduce its effectiveness.
C. While vitamin C in orange juice may enhance the absorption of some medications, it is not recommended for levothyroxine. It is best absorbed when taken with water, not juice.
D. Two hours before a meal Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, but taking it at least two hours before a meal ensures the best absorption and avoids food interactions.

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The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a female client about ways to prevent a migraine. Which of the following information should the nurse include in the teaching?.

Correct Answer is C

Explanation

The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

Correct Answer is D

Explanation

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