A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Levothyroxine
Glyburide
C. Nifedipine
Chlorpromazine
The Correct Answer is B
Glyburide is an oral hypoglycemic medication used to control blood glucose levels in individuals with type 2 diabetes. It is also used in the management of gestational diabetes mellitus (GDM) when dietary and lifestyle interventions alone are not sufficient to control blood glucose levels. Glyburide works by stimulating the pancreas to release insulin and also by increasing the sensitivity of peripheral tissues to insulin. It is preferred over insulin injections because it is easier to administer and monitor, and it does not pose a risk of hypoglycemia as long as blood glucose levels are closely monitored. In addition, glyburide does not cross the placenta, which minimizes the risk of fetal hypoglycemia. However, some studies have suggested that glyburide may be associated with an increased risk of neonatal hypoglycemia and macrosomia (large birth weight), so careful monitoring of the mother and fetus is required. Other medications such as levothyroxine, nifedipine, and chlorpromazine are not used in the management of gestational diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should insert an orogastric decompression tube with low wall suction. The newborn has Escherichia coli infection resulting in necrotizing enterocolitis, which can cause abdominal distention, decreased activity level, and bloody stools. The newborn also has a superficial rash on the abdominal wall, which may indicate a bacterial infection. The presence of a fist clenching, thrashing, and crying during light palpation of the
abdomen may indicate pain caused by bowel distention. An orogastric decompression tube with low wall suction can help decompress the bowel and relieve abdominal distention.
Correct Answer is C
Explanation
The correct answer is choice C: Uterine tenderness. Endometritis is an infection of the endometrial lining of the uterus. Uterine tenderness is a common finding in clients with endometritis.
Choice A, scant lochia, and choice D, WBC count 9,000/mm², are not typical findings in clients with endometritis. Choice B, temperature 37.4° C (99.3° F), is within the normal range and may not be indicative of endometritis.
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