Nursing intervention for pregnant women with diabetes is based on the knowledge that the need for insulin:
a. increases throughout pregnancy and the postpartum period.
b. decreases throughout pregnancy and the postpartum period.
c. varies depending on the stage of gestation.
d. should not change because the fetus produces its own insulin.
C
Insulin needs decrease during the first trimester, when nausea, vomiting, and anorexia are a factor. They increase during the second and third trimesters, when the hormones of pregnancy create insulin resistance in maternal cells.
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The nurse is caring for a patient who has had many admissions and readmissions. The nurse believes that the patient keeps coming to the hospital because the patient "wants his drugs," and is "non-compliant" at home with his diabetic therapy
To reduce the risk of slander against this patient, the nurse should: a. write observations and opinions in the medical record only. b. never share observations. c. make judgmental statements only when necessary. d. Avoid stating judgmental statements.
When caring for a laboring client with epidural analgesia, the nurse should be alert for which complication?
a. Hypotension c. Hyperemia b. Hypervolemia d. Hyponatremia
The nurse is assessing a client who is 6 hours post surgery for a nasal fracture. The client has facial pain (5 out of 10) and nasal packing in place. What actions by the nurse are most appropri-ate at this time? (Select all that apply.)
a. Observe for clear drainage. b. Observe for bleeding. c. Observe the client for frequent swallow-ing. d. Ask the client to open his or her mouth. e. Administer a nasal steroid to decrease edema. f. Change the nasal packing. g. Administer pain medication. h. Place the client in Trendelenburg position.
When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet, the nurse explains that foods to be restricted include
a. canned and frozen fruits. b. fresh or frozen vegetables. c. eggs and other high-protein foods. d. milk, yogurt, and other milk products.