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. Anorexia is not typically related to fluid intake in clients with hypothyroidism. In fact, some people with hypothyroidism may experience weight gain and have increased appetite rather than anorexia.
B. Cold intolerance is a common symptom of hypothyroidism due to a reduced metabolic rate, but it is not directly related to fluid intake. Increasing fluids would not directly alleviate cold intolerance.
C. One of the common symptoms of hypothyroidism is constipation, which occurs due to slowed gastrointestinal motility. Increasing fluid intake helps to soften stool and promote regular bowel movements, thus preventing constipation.
D. Hypothyroidism typically results in a lower oxygen demand because of a decreased metabolic rate. Fluid intake does not have a direct impact on oxygen demand.

A. fosphenytoin (Cerebyx) B. lorazepam (Ativan) C. phenobarbital (Luminol) D. diazepam (Valium)

Correct Answer is A

Explanation

A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.

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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 client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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