chap 29

Which statement by the client with gestational diabetes indicates an understanding of the information provided by the nurse?

"I will not go more than 4 hours throughout the day without eating."

Which definition would the nurse use when teaching a client about gestational diabetes?

Diabetes that is diagnosed during pregnancy

After reviewing a client's blood glucose levels, the nurse finds that the client is hypoglycemic and administers three glucose tablets. After 15 minutes, the client is still hypoglycemic, so the nurse administers three more glucose tablets. What would the nurse do next if the client's blood glucose is 60 mg/dL after 15 minutes?

Notify the primary health care provider.

Which fetal abnormalities are prevented by monitoring an obstetric client with phenylketonuria (PKU) for high levels of phenylalanine? Select all that apply.

Cardiac anomalies Intellectual disability Intrauterine growth restriction

Which client condition would the nurse relate to hypoglycemia in a diabetic client?

Clammy skin

In planning for the care of a 30-year-old client with pregestational diabetes, the nurse recognizes which as the most important factor affecting pregnancy outcome?

Degree of glycemic control during pregnancy

A pregnant client with pregestational insulin-dependent diabetes is going for a week's vacation to another state. What would the nurse ask the client to carry with her to prevent complications? Select all that apply.

Insulin vials Glucose tablets Blood glucose meter

When assessing a pregnant client, the nurse is aware of which maternal and neonatal risks associated with gestational diabetes mellitus?

Maternal preeclampsia and fetal macrosomia.

Which nursing action would be included the initial treatment of a thyroid storm? Select all that apply. One, some, or all responses may be correct.

Oxygen Intravenous fluids High doses of propylthiouracil (PTU)

The nurse is caring for a pregnant client who is prescribed levothyroxine for hypothyroidism. The client is also prescribed an iron supplement. Which education would the nurse provide the client about taking these medications?

Take the two medications at different times of the day.

Which assessment finding would the nurse recognize as an indicator for early screening for gestational diabetes mellitus (GDM)?

The client had a previous stillbirth.

Which symptoms of hyperglycemia are appropriate to include in the teaching for a diabetic client? Select all that apply.

Thirst Drowsiness Constipation

Which nursing information is appropriate to include when discussing dietary self-management for a client with hyperemesis? Select all that apply.

Try to eat more dairy. Consume protein after eating a sweet snack. Try drinking your water with a slice of lemon.