Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality.
When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

• A.70 mg/dL and 120 mg/dL
• B.100 mg/dL and 200 mg/dL
• C.40 mg/dL and 130 mg/dL
• D.90 mg/dL and 200 mg/dL

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A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

• A.Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
• B.Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
• C.Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
• D.Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.

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A female client was recently diagnosed with gastric cancer. She entered the hospital and had a total gastrectomy with esophagojejunostomy. Her postoperative recovery was uneventful. On conducting discharge teaching, the nurse discusses changes in bodily function and lifestyle changes with the client. In order to prevent pernicious anemia, the nurse stresses that the client must:

• A.Receive monthly blood transfusions
• B.Increase the amount of iron in her diet
• C.Eat small quantities several times daily until she is able to tolerate food in moderate portions
• D.Understand the need for Vitamin B12 replacement therapy

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Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

• A.Kidney (urinary system)
• B.Brain (nervous system)
• C.Heart (circulatory system)
• D.Lungs (respiratory system)

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In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?

• A.Diazepam (Valium)
• B.Haloperidol (Haldol)
• C.Sertraline (Zoloft)
• D.Alprazolam (Xanax)

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