A 30-year-old white woman has a BMI of 26 and weighs 150 lb. At an annual physical examination, the patient's fasting plasma glucose is 130 mg/dL. The patient walks 1 mile three or four times weekly
She has had two children who weighed 7 lb and 8 lb at birth. Her personal and family histories are noncontributory. The primary care NP should: a. order metformin (Glucophage).
b. order a lipid profile, complete blood count, and liver function tests (LFTs).
c. order an oral glucose tolerance test.
d. set a weight loss goal of 10 to 15 lb.
D
To prevent or delay onset of diabetes, patients with impaired glucose should be advised to lose 5% to 10% of body weight. Metformin should be considered in patients with high risk of developing diabetes. This woman does not have risk factors. Other tests are not indicated.
You might also like to view...
A nurse is preparing to dismiss a woman and her infant from the hospital. The woman is Rh(D)-negative and the infant is Rh(D)-positive. This was her first pregnancy. Which nursing action is most appropriate?
A. Administer Rho(D) immune globulin (RhoGAM) and document accurately. B. Assess the father to see if he has ever received an injection of RhoGAM. C. Educate the woman on the need for RhoGAM if she delivers an Rh(D)-negative baby. D. Instruct the woman to get RhoGAM with her next pregnancy, not for this one.
When considering collaborative practice, interdisciplinary healthcare teams have been particularly effective in which environment?
1. Emergency departments 2. Critical care units 3. Outpatient services 4. Obstetrical services
A nurse researcher opts to use a stratified sample in a research study for which reason?
a. The sample population is divided into subsets that are homogeneous for a particular trait or feature. b. The sample population is divided into subsets for random assignment into an intervention or a usual-care group. c. The sample population is randomly assigned to a specific subgroup that will vary from the others on the basis of type of treatment. d. The sample population is randomly assigned to a specific subgroup that will vary from the others on the basis of treatment duration.
Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
a. The fetal head is felt at 0 station during vaginal examination. b. Bloody mucus discharge increases. c. The vulva bulges and encircles the fetal head. d. The membranes rupture during a contraction.