The nurse is reviewing the record of a pregnant client seen in the health care clinic for the first prenatal visit
Which of the following data, if noted on the client's record, would alert the nurse that the client is at risk for developing gestational diabetes during this pregnancy? 1. The client's previous deliveries were by cesarean section.
2. The client's last baby weighed 10 lb at birth.
3. The client has a family history of type 1 diabetes.
4. The client is 5 feet, 3 inches tall and weighs 165 lb.
2
Rationale: Known risk factors that increase the risk of developing gestational diabetes include obesity (over 198 lb), chronic hypertension, family history of type 2 diabetes, previous birth of a large infant (over 4000 g), and gestational diabetes in a previous pregnancy. The other options are not risk factors associated with the development of gestational diabetes.
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The nurse is caring for a client with left-sided weakness. Which gait-training techniques will the physical therapist and the nurse use when assisting the client to walk with a cane? (Select all that apply.)
a. Place the cane in the client's left hand. b. Hold the cane with the client's stronger hand. c. Move the cane forward, followed by legs stepping forward. d. Take one step forward, followed by the cane moving forward. e. Step forward with the stronger leg, then the weaker leg. f. Move the weaker leg one step forward, followed by the stronger leg.
Which is the best example of an expected outcome?
a. Turn, cough, and deep breathe every 2 hours. b. The client will maintain nutritional status. c. The client will walk the length of the corridor twice a day by the second day after surgery. d. The client has gained 3 pounds within 2 months as stated.
What is the best way for the nurse to determine a patient's need for pain medication on the second day after an abdominal laparotomy?
a. Check when the patient last received medication for pain. b. Assess the patient's facial expression and vital signs. c. Consider the patient's age and ethnicity. d. Ask the patient to rate his or her pain.
A nurse is working in the surgical recovery unit and is caring for a patient who is still under anesthesia. She notes that the patient's oxygen level is 82% on room air. What would the nurse be guilty of if she were to withhold oxygen from this patient?
a. Commission of an act b. Nothing, because the patient will naturally recover from the anesthesia c. Professional negligence d. Assault and battery