A 26-year-old client is 26 weeks pregnant. Her previous births include two large-for-gestational-age babies and one unexplained stillbirth. Which tests would the nurse anticipate as being most definitive in diagnosing gestational diabetes?
1. A 50g, 1-hour glucose screening test
2. A single fasting glucose level
3. A 100g, 1-hour glucose tolerance test
4. A 100g, 3-hour glucose tolerance test
4
Explanation: 4. Gestational diabetes is diagnosed if two or more of the following values are met or exceeded after taking the 100 g, 3-hour OGTT: Fasting: 95 mg/dL; 1 hour: 180 mg/dL; 2 hours: 155 mg/dL; 3 hours: 140 mg/dL.
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A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7 °F (36.5 °C). What action by the nurse is most appropriate?
A. Document the findings and continue to monitor. B. Ensure the baby is wearing a hat. C. Place the baby in a pre-warmed incubator. D. Tightly swaddle the baby.
A client is receiving care in the hospital for life-threatening injuries sustained in a motor vehicle crash and is taken immediately to surgery
There is no family available to provide consent; however, the client's medical record is available and reviewed by the nurse. Which treatments are inappropriate in this situation? Select all that apply. A) Emergency surgery B) Treatment that was previously refused C) Treatment that violates religious beliefs D) Medications to treat the injury E) Experimental medications for a research study
Which of the following is the highest level of human need according to Maslow (1968)?
A) Physiologic B) Love and belonging C) Esteem and self-esteem D) Self-actualization
Which clinical manifestation or assessment finding indicates effectiveness of the therapy for the client with polycythemia vera?
A. Hematocrit of 65% B. Bilateral darkening of the conjunctiva C. Blood pressure change from 180/150 to 160/90 D. Unplanned weight loss of 6 lb over a month's time