The nurse is teaching a diabetic pregnant client about nutrition and insulin needs during pregnancy. The nurse determines that the client understands dietary and insulin needs if the cli-ent states that the second half of pregnancy may require:
1. Increased insulin
2. Decreased insulin
3. Increased caloric intake
4. Decreased caloric intake
1
Rationale: Glucose crosses the placenta, but insulin does not. High fetal demands for glucose, combined with the insulin resistance caused by hormonal changes in the last half of pregnancy, can result in elevation of maternal blood glucose levels. This increases the mother's demand for insulin and is referred to as the diabetogenic effect of pregnancy. Caloric requirements are not affected by diabetes.
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A student is learning about the process of hematopoiesis and how it is affected by leukemia. Which information does the student discover? (Select all that apply.)
A. Blast cells multiply faster than mature cells. B. Leukemia disrupts normal hematopoiesis. C. Lymphoid cells differentiate into B and T cells. D. Myeloid cells crowd out normal cells in bone marrow. E. Pancytopenia occurs from proliferation of mast cells.
It is necessary for the practical nursing student to be _____ in communication with patients and families in the clinical area
1. friendly and eager 2. cheerful and loud so the patient can hear 3. quiet and gentle 4. firm and strong
Varicella vaccine is recommended to be given to patients who are:
1. HIV positive with a CD4+ T-lymphocyte percentage less than 15% 2. Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day) 3. Pregnant 4. Immunocompromised
___________ and Chondroitin are both herbal dietary supplements that contribute to joint strength and are used to used to relieve the discomfort of arthritis.
Fill in the blank(s) with the appropriate word(s).