Patient Data

Exhibits

The nurse is reviewing nurses' notes to determine if there are any variations. Click to highlight the findings that would indicate the client has developed a complication related to pregnancy.

The client is a 32-year-old multigravida at 28 weeks' gestation, who presents to the obstetrician's office for a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08

Kg) at 41 weeks gestation.

Client is at 28 weeks. She has been receiving prenatal care since 8 weeks' gestation. Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L). Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).

164 mg/dL (9.1 mmol/L)

fasting blood sugar of 168 (9.3 mmol/L)

two-hour postprandial of 220 mg/dL (12.2 mmol/L)

She has been receiving prenatal care since 8 weeks' gestation

She had one spontaneous abortion at 10 weeks' gestation

Obstetrical history reveals she has given birth three times

Answer and Explanation

The Correct Answer is ["A","B","C"]

The laboratory results show a fasting 1-hour glucose screen level of 164 mg/dL and a fasting blood sugar level of 168 mg/dL from a 3-hour oral glucose tolerance test, both of which are above the normal range. Additionally, a two-hour postprandial glucose level of 220 mg/dL is also elevated. These findings suggest the possibility of gestational diabetes mellitus (GDM), a condition of glucose intolerance that arises during pregnancy.

According to the American Diabetes Association, GDM is diagnosed if two or more plasma glucose levels meet or exceed certain thresholds, which include a fasting glucose concentration of 95 mg/dL, a 1-hour glucose concentration of 180 mg/dL, and a 2-hour glucose concentration of 155 mg/dL. The patient's values surpass these thresholds, indicating that further evaluation and management for GDM may be necessary.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,B"}}

Explanation

Weak urinary stream is most commonly associated with Benign Prostatic Hyperplasia (BPH) due to the enlarged prostate pressing on the urethra.

Fever can be a symptom of both Prostatitis and Urinary Tract Infection (UTI), as both conditions can involve an infection.

Slow progression of symptoms is typically associated with Benign Prostatic Hyperplasia (BPH), as it is a chronic condition that develops gradually over time.

Urinary urgency can be seen in all three conditions: Prostatitis, Urinary Tract Infection (UTI), and Benign Prostatic Hyperplasia (BPH), as all can cause irritation or obstruction in the urinary tract.

Pain with urination is a symptom of both Prostatitis and Urinary Tract Infection (UTI) due to inflammation and infection.

A. Document the medication administration manually. B. Override the medication system to obtain another dose. C. Call the pharmacy to obtain the barcode number. D. Recover the barcode packaging from the trash can.

Correct Answer is D

Explanation

A. Documenting manually does not correct the issue with missing the barcode scan.

B. Overriding the medication system could bypass safety checks and is not appropriate in this situation.

C. Calling the pharmacy for the barcode number is not necessary if the packaging can be retrieved.

D. Recovering the barcode packaging from the trash can allows the nurse to properly scan the barcode, ensuring accurate medication administration and adherence to safety protocols.

View Question and Answer

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse is considering the possible etiology of the client's symptoms. Click to indicate if the listed assessment findings are consistent with benign prostate hyperplasia, urinary tract infections, or prostatitis. Each column must have at least one response option selected.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,B"}}

Explanation

While preparing a client's routine 0800 medications, the nurse opens the medication packaging and discards in the trash prior to scanning the barcode label. Which action should the nurse implement?

Correct Answer is D

Explanation

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