A pregnant female patient presents with complaints of incontinence, polydipsia, and polyphagia. An A1C test shows 8.5% Which condition is indicated by this description?
Gestational hypertension
Gestational diabetes mellitus
Hyperemesis gravidarum
Gestational thrombocytopenia
The Correct Answer is B
Gestational diabetes mellitus (GDM) is a type of diabetes that develops during pregnancy and usually resolves after delivery. It is characterized by high blood glucose levels that can affect the health of both the mother and the fetus. Polydipsia (excessive thirst) and polyphagia (excessive hunger) are common symptoms of hyperglycemia (high blood glucose). Incontinence may occur due to increased pressure on the bladder from the growing uterus or from nerve damage caused by diabetes. An A1C test measures the average blood glucose level over the past two to three months and is used to diagnose and monitor diabetes. A normal A1C level is below 5.7%, while a level of 6.5% or higher indicates diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rhabdomyolysis is a condition that occurs when skeletal muscle tissue breaks down rapidly due to injury, infection, drug toxicity, or other causes. The breakdown of muscle releases myoglobin, a protein that carries oxygen in muscle cells, into the bloodstream. Myoglobin can damage the kidneys by clogging the renal tubules and causing acute kidney injury. Rhabdomyolysis can also cause electrolyte imbalances, muscle weakness, and compartment syndrome.
Correct Answer is D
Explanation
More H and HCO3 form, decreasing the blood's pH.
Rationale: Hypoventilation is a condition where the breathing rate is too slow or shallow, resulting in insufficient removal of carbon dioxide (CO2) from the body. CO2 reacts with water (H2O) to form carbonic acid (H2CO3), which can dissociate into hydrogen ions (H+) and bicarbonate ions (HCO3-). Therefore, when CO2 accumulates in the blood due to hypoventilation, more H2CO3 is formed, which lowers the blood's pH by increasing the concentration of H+ and HCO3-.
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