A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia.

She has a history of chronic hypertension and gestational diabetes.

The nurse anticipates that the client will receive which of the following medications to prevent seizures?

Hydralazine

Nifedipine

Magnesium sulfate

Diazepam

Answer and Explanation

The Correct Answer is C

Magnesium sulfate. Magnesium sulfate is the drug of choice to prevent and treat seizures in people with severe preeclampsia and eclampsia. It is an anticonvulsant medication that reduces the risk of eclampsia by 50%.

Choice A is wrong because hydralazine is a blood pressure medication that can lower blood pressure in people with preeclampsia or eclampsia, but it does not prevent seizures.

Choice B is wrong because nifedipine is another blood pressure medication that can lower blood pressure in people with preeclampsia or eclampsia, but it does not prevent seizures.

Choice D is wrong because diazepam is an anticonvulsant medication that was previously used to treat eclamptic seizures, but it has been replaced by magnesium sulfate as the preferred drug due to its better safety and efficacy. Diazepam can also cause sedation and respiratory depression in the mother and the fetus.

Normal ranges for blood pressure are below 140/90 mm Hg, for proteinuria are below 300 mg/24 hours, for platelet count are 150,000 to 450,000 per microliter, for liver enzymes are 7 to 56 units per liter for alanine aminotransferase (ALT) and 10 to 40 units per liter for aspartate aminotransferase (AST), and for magnesium levels are 1.5 to 2.5 mEq/L.

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Correct Answer is C

Explanation

Deep tendon reflexes.

The nurse should monitor the client’s deep tendon reflexes to assess for signs of magnesium toxicity, which can cause respiratory depression, cardiac arrest, and coma.Magnesium sulfate is given to prevent seizures in clients with severe preeclampsia, but it can also have adverse effects on the neuromuscular system.

Calcium Gluconate Is The Antidote For Magnesium Sulfate Toxicity

Choice A is wrong because blood pressure is not the most important assessment for a client receiving magnesium sulfate.

Blood pressure is a manifestation of preeclampsia, but it does not indicate magnesium toxicity.

Choice B is wrong because urine output is not the most important assessment for a client receiving magnesium sulfate.

Urine output should be at least 25 to 30 mL/hr to promote adequate excretion of magnesium, but it does not reflect the level of magnesium in the blood.

Choice D is wrong because fetal heart rate is not the most important assessment for a client receiving magnesium sulfate.

Fetal heart rate is important to monitor for signs of fetal distress, but it does not indicate maternal magnesium toxicity.

A. It reduces cerebral edema and prevents seizures B. It increases uteroplacental perfusion and fetal oxygenation C. It decreases proteinuria and prevents renal damage D. It relaxes smooth muscle and lowers blood pressure

Correct Answer is D

Explanation

This is the rationale for using this medication in a client with pre-eclampsia who has a blood pressure of 180/110 mmHg.High blood pressure in pre-eclampsia can cause damage to the kidneys, liver, brain, and other organs, and can also increase the risk of complications for the baby.

Therefore, lowering blood pressure with hydralazine can help prevent or reduce these adverse outcomes.

Antihypertensive Drugs Dr Sasan Zaeri Pharm D Ph

Choice A is wrong because hydralazine does not reduce cerebral edema or prevent seizures.These are symptoms of eclampsia, a more severe form of pre-eclampsia that requires different treatment.

Choice B is wrong because hydralazine does not increase uteroplacental perfusion or fetal oxygenation.These are affected by other factors such as the placental function, maternal position, and fetal well-being.

Choice C is wrong because hydralazine does not decrease proteinuria or prevent renal damage.

Proteinuria is a sign of kidney impairment that occurs in pre-eclampsia, but it is not directly affected by hydralazine.Renal damage can be prevented by controlling blood pressure and avoiding nephrotoxic drugs.

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A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia. She has a history of chronic hypertension and gestational diabetes. The nurse anticipates that the client will receive which of the following medications to prevent seizures?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate infusion. Which of the following assessments is most important for the nurse to monitor?

Correct Answer is C

Explanation

A nurse is preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia. Which of the following results would indicate hepatic involvement? (Select all that apply.)

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate. Which of the following findings would indicate magnesium toxicity and require immediate intervention?

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia who is receiving magnesium sulfate. Which finding would indicate a therapeutic level of magnesium sulfate?

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia. Which of the following findings should the nurse report to the provider immediately?

A nurse is providing discharge teaching to a client who had preeclampsia and delivered a healthy baby at 38 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia.

She has a history of chronic hypertension and gestational diabetes.

The nurse anticipates that the client will receive which of the following medications to prevent seizures?