A nurse in a clinic is caring for an adolescent client who is at 24 weeks of gestation and showing signs of preeclampsia. Which of the following findings should the nurse expect?
Increased platelet count
Increased protein in urine
Decreased BUN
Decreased serum uric acid
The Correct Answer is B
Rationale:
A. Increased platelet count: Preeclampsia is often associated with thrombocytopenia (low platelet count), not an increase. A falling platelet count can be a warning sign of worsening disease or progression to HELLP syndrome.
B. Increased protein in urine: Proteinuria is one of the hallmark signs of preeclampsia, resulting from glomerular damage in the kidneys. A 24-hour urine protein test or dipstick is commonly used to detect elevated protein levels during pregnancy.
C. Decreased BUN: Blood urea nitrogen (BUN) may increase if renal perfusion is compromised, but a decrease is not typical in preeclampsia. Kidney involvement often leads to elevated BUN and creatinine levels.
D. Decreased serum uric acid: Preeclampsia usually causes elevated serum uric acid levels due to decreased renal clearance. A drop in uric acid would be inconsistent with this diagnosis
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Administer a dose of atomoxetine to decrease anxiety: Atomoxetine is a non-stimulant medication used primarily for ADHD, not for acute anxiety or panic attacks. It is not effective for treating panic symptoms and is not appropriate in this situation.
B. Sit with the client to provide a sense of security: Remaining with the client during a panic attack helps reduce fear, provides emotional support, and ensures safety. Calm presence and reassurance are essential to help the client regain a sense of control.
C. Encourage the client to watch television: Watching television requires attention and focus, which may be impaired during a panic attack. This suggestion does not address the immediate need for safety, calm, and emotional support.
D. Teach the client how to meditate: Teaching new coping techniques during a panic attack may be ineffective, as the client is overwhelmed and unable to concentrate. Such strategies are better introduced when the client is calm and receptive.
Correct Answer is C
Explanation
Rationale:
A. "Rinse your mouth with an alcohol-based mouthwash.": Alcohol-based mouthwashes can further irritate the mucous membranes, worsen oral discomfort, and dry the oral tissues, especially in clients with mucositis or candidiasis common in AIDS.
B. "Eat foods served at hot temperatures.": Hot foods can aggravate oral sores and cause more pain or tissue damage. Cool or room-temperature foods are typically better tolerated when the mouth is sore.
C. "Use ice chips to numb your mouth.": Ice chips can provide temporary relief by numbing oral tissues, reducing inflammation, and making eating more comfortable. This is a helpful, non-pharmacologic intervention for oral pain.
D. "Add salt to season foods.": Salt can irritate open or inflamed oral tissues and worsen the discomfort. Bland, soft foods without strong seasonings are usually better tolerated in cases of mouth soreness.
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