Author Question: Which postpartum client requires further assessment? a. G4 P4 who has had four saturated pads ... (Read 49 times)

WhattoUnderstand · **on:** Jun 28, 2018

Which postpartum client requires further assessment?

a. G4 P4 who has had four saturated pads during the last 12 hours
b. G1 P1 with Class II heart disease who complains of frequent coughing
c. G2 P2 with gestational diabetes whose fasting blood sugar level is 100 mg/dL
d. G3 P2 postcesarean client who has active herpes lesions on the labia

Question 2

The labor nurse is providing care to a patient at 37 weeks' gestation who is an insulin-dependent diabetic.

The health care provider prescribes an infusion of insulin throughout her induction to be titrated to keep her blood glucose levels below 110 mg/dL. What type of insulin will the nurse select to prepare the infusion?

a. NPH insulin
b. Regular insulin
c. Lispro (Humalog)
d. Aspart (Novolog)

bobsmith · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Frequent coughing may be a sign of congestive heart failure in the postpartum client with heart disease. Four saturated pads in a 4-hour period is acceptable postpartum blood loss, a fasting blood sugar is a normal value, and the client with identified active herpes does not require further assessment.

Answer to Question 2

ANS: B
Continuous infusion of a regular insulin solution combined with a separate intravenous solution containing glucose, such as 5 dextrose in Ringer's lactate, allows titration to maintain blood glucose levels between 80 and 110 mg/dL, or as designated by facility policy. The insulin solution is raised, lowered, or discontinued to maintain euglycemia based on hourly capillary blood glucose levels.