A nurse is assessing all patients in the perinatal clinic for culturally related increased risk for gestational diabetes mellitus. Which patients would the nurse assess as being in the highest risk groups? (Select all that apply.)
A.
African American
B.
Caucasian
C.
Chinese
D.
Hispanic
E.
Native American
ANS: A, C, D, E
Ethnic groups with a higher incidence of gestational diabetes mellitus include African Americans, Asian Americans, Hispanics, and Native Americans. Pacific Islanders also have increased risk. Caucasians do not have an increased risk.
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An alcohol-dependent patient was hospitalized at 4 AM on Saturday. The patient's last drink was at 2 AM. When would the nurse expect withdrawal symptoms to peak then disappear or progress to delirium?
a. Between 8 AM and 10 AM Saturday b. Between 10 AM and 4 PM Saturday c. Between 4 PM Saturday and 4 AM Sunday d. Between 2 AM Sunday and 2 AM Monday
The health care team has just given the family of a terminally ill patient an update on the patient's status. Thirty minutes later the patient's sibling says, "The family does not understand the last update the physician gave us."
Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Repeat the information the physician provided. 2. Have the physician paged to talk to the family again. 3. Explain the information in a different way. 4. Offer to call the physician's answering service to leave a message for the family. 5. Have the unit supervisor talk with the family.
The nurse is preparing educational materials at a family planning clinic. The patient who is an appropriate candidate for using emergency contraception would be one who reports:
1. Forgetting to start her pill pack yesterday. 2. Unprotected intercourse during her menses. 3. That a condom broke yesterday in the middle of her cycle. 4. Increased dysmenorrhea since IUD insertion.
A client asks, "Is it okay for me to use a vaginal douche each day when I'm on my period?" How should the nurse respond?
1. "Douching should be avoided when you're on your period." 2. "Regular douching is necessary in order to promote good hygiene." 3. "Using a douche each day will help prevent vaginal infections from occurring." 4. "During your period, douching will help promote the flow of menstrual secretions."