The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years.
The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces:
A) hCG, which increases maternal glucose levels
B) hPL, which deceases the effectiveness of insulin
C) Estriol, which interferes with insulin crossing the placenta
D) Relaxin, which decreases the amount of insulin produced
Question 2
During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast.
The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute. and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?
A) Ineffective tissue perfusion related to supine hypotensive syndrome
B) Impaired gas exchange related to pulmonary congestion
C) Activity intolerance related to increased metabolic requirements
D) Anxiety related to fear of pregnancy outcome
The nurse assists the patient in reflecting on his feelings
Nursing Notes on diabetes
Rotation sites for administering insulin.
Sample client goals from the Wellness Massage Pyramid.
Apply the substance to the client’s upper chest.
A hot stone placed under the client’s neck.