You are working as a registered nurse (RN) in a large women's clinic. y.L., a 28-year-old Asian woman,
arrives for her regularly scheduled obstetric appointment. She is in her 26th week of pregnancy and is
a primigravida.
After examining the patient, the nurse-midwife tells you to schedule y.L. for a glucose
challenge test. you review y.L.'s chart and note she is 5 feet, 3 inches tall and weighs 143 pounds; her pre-
pregnancy body mass index (BMI) was 25 . Her father has type 2 diabetes mellitus (DM), and both paternal
grandparents had type 2 DM. you enter the room to talk to y.L.
What is the purpose of a glucose challenge test?
To screen for gestational diabetes mellitus (GDM)
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A worker in a tanning factory comes to the emergency department with itchy, papular lesions on his hands and arms. Some of the lesions have black eschar in the center and some are vesicular. What biological exposure is most likely?
A) Cutaneous anthrax B) Pulmonary anthrax C) Cutaneous smallpox D) Pneumonic plague
A middle-age patient presents at the community clinic with abdominal pains and heartburn, which he says have persisted for several days following a particularly spicy meal
Which of the following complications would the nurse be particularly likely to assess for? A) Esophageal or pyloric obstruction related to scarring B) Acute systemic infection related to peritonitis C) Gastric hyperacidity related to excessive gastrin secretion D) Chronic referred pain in the right shoulder
A nurse is often frustrated when clients do not comply with the nurse's suggestions that would improve their health. What might be helpful to remember in such situations?
A. It takes a long time and much effort to change people's behavior. B. The clients may not change today, but they may change tomorrow. C. The nurse may have to change the client's values in order for the client to want to change behaviors. D. The only person the nurse can change is the nurse.
D.W. is seen in the immunology clinic twice monthly during the next 3 months. Although her condition
does not worsen, her BUN and creatinine remain elevated. While at work one afternoon, D.W. begins to feel dizzy and develops a severe headache. She reports to her supervisor, who has her lie down. When D.W. starts to become disoriented, her supervisor calls 911, and D.W. is taken to the hospital. D.W. is admitted for probable lupus cerebritis related to acute exacerbation of her disease. What other findings indicative of central nervous system involvement should you assess for in D.W.?