Which of the nurse's assigned patients should be referred to the dietitian for a complete nutritional assessment (select all that apply)?
a. A 23-year-old who has a history of fluctuating weight gains and losses
b. A 35-year-old who complains of intermittent nausea for the past 2 days
c. A 64-year-old who is admitted for débridement of an infected surgical wound
d. A 52-year-old admitted with chest pain and possible myocardial infarction (MI)
e. A 48-year-old with rheumatoid arthritis who takes prednisone (Deltasone) daily
a. A 23-year-old who has a history of fluctuating weight gains and losses
c. A 64-year-old who is admitted for débridement of an infected surgical wound
e. A 48-year-old with rheumatoid arthritis who takes prednisone (Deltasone) daily
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Metabolic changes throughout pregnancy affecting glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should know that:
1. insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. 2. women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. 3. during the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. 4. maternal insulin requirements steadily decline during pregnancy.
Immediately after delivery, the vaginal flow is
A. red. B. pink. C. brown. D. pink/brown.
The process that requires energy to accomplish the passage of substances within the intervillous space is
A. Active transport B. Diffusion C. Facilitated diffusion
When the nurse interviews an adolescent, it is especially important to:
a. Focus the discussion on the peer group. b. Allow an opportunity to express feelings. c. Emphasize that confidentiality will always be maintained. d. Use the same type of language as the adolescent.