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Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand.  Nurses should know that:

Advantages of using informatics in health care delivery are: (Select all that apply)

An adult female with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?    

Mr. and Mrs. Hernandez have set up a roadside memorial maker for their beloved son, who died 15 years ago when he was struck by a car when he was only 12 years old. The roadside marker has many tribute objects, and it takes fifteen feet of the sidewalk at the site of the accident. The father can be seen there once a week, fixing up and cleaning the area. This type of grief is known as: 

Ms. Zimmerman, a 75-year-old female resident of a long-term care facility, presents with diarrhea and weakness. Arterial Blood Gas (ABG)  results: pH 7.32, PaCO2 38 mmHg, HCO3 22 mEq/L. Considering the patient’s age, what age-specific clinical manifestations may be associated with the observed acid-base imbalance?

Baby Young, a 6-month-old infant, is brought to the pediatric clinic with rapid breathing and irritability. Arterial Blood Gas (ABG)  results: pH 7.49, PaCO2 30 mmHg, HCO3 24 mEq/L. Considering the infant’s age, what age-specific compensatory mechanisms may be observed in response to the observed acid-base imbalance?

A patient is being seen at a prenatal visit at 32 weeks and has a blood pressure of 142/89.  At the 36 week clinic appointment, she is found to have a BP of 149/92. At this time, she is given the diagnosis of gestational hypertension and will deliver between 37-38 weeks. She returns at 37 weeks for the next prenatal appointment and it was noted that her PC ratio was 0.42. She has no other symptoms, but is sent to the labor and delivery unit for further evaluation for pre-eclampsia without severe features. What is the priority intervention when she arrives to labor and delivery?

Mr. Cruz is a 65-year-old male admitted to the hospital with a history of chronic kidney disease (CKD). He presents with lethargy, confusion, and decreased urine output. Arterial Blood Gas (ABG)  results: pH 7.29, PaCO2 38 mmHg, HCO3 18 mEq/L. Considering the patient’s age and medical history, what age-specific risk factors most likely caused this acid-base imbalance?

Accelerations of the FHR from baseline should be interpreted by the nurse as: 

Part 1 of 3: “Condition Most Likely Experiencing” DATE TIME NURSES’ NOTES March 1, 2023 0820 Client Ms. Lewis is 21-year-old female with blood glucose of 864 mg/dL and serum potassium level of 2.9 mEq/L reports abdominal pain, headache, fatigue, frequent urination, excessive thirst, has rapid deep breathing and fruity sweet-smelling breath.  The nurse is reviewing the client’s assessment data to prepare the client’s plan of care. Identify what condition the client is likely experiencing.