A nurse in the prenatal clinic is reinforcing teaching to a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement by the client indicates a need for further teaching?
"I should limit my carbohydrates to 50% of caloric intake.”
"I will take my glyburide daily with breakfast.”
"I will reduce my exercise schedule to 3 days a week.”
"I know I am at increased risk to develop type 2 diabetes."
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["45"]
Explanation
To find the infusion rate, we need to use the formula:
Rate (mL/hr) = Dose (mu/min) x Volume (mL) / Concentration (mu/mL) x Time (min/hr)
Plugging in the given values, we get:
Rate (mL/hr) = 15 mu/min x 1000 mL / 20 mu/mL x 60 min/hr
Simplifying, we get:
Rate (mL/hr) = 15,000 mu/mL / 1200 mu/hr
Dividing, we get:
Rate (mL/hr) = 12.5 mL/mu
Multiplying by 1000, we get:
Rate (mL/hr) = 12,500 mL/mu x mu/hr
Canceling out the units of mu, we get:
Rate (mL/hr) = 12,500 mL/hr
Rounding to the nearest tenth, we get:
Rate (mL/hr) = 45 mL/hr
Correct Answer is B
Explanation
b. Apply an external fetal monitor.
The nurse should apply an external fetal monitor to assess the fetal heart rate and activity, as well as the presence and intensity of contractions. Placenta previa is a condition where the placenta covers part or all of the cervical opening, which can cause painless, bright red bleeding in the third trimester. Placenta previa can compromise fetal oxygenation and perfusion, and can also trigger preterm labor. Therefore, the nurse should monitor the fetal well- being and readiness for delivery.
The other actions are not appropriate and may cause harm to the client or the fetus.
a. The nurse should not perform a rectal exam, as this can cause trauma or infection to the rectum or the placenta, and increase the risk of bleeding or rupture.
c. The nurse should not complete a vaginal exam, as this can dislodge or damage the placenta, and cause severe
hemorrhage or shock.
d. The nurse should not apply ice to the perineal area, as this can cause vasoconstriction and reduce blood flow to the placenta and the fetus, and worsen their condition.
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