A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Creatinine 0.8 mg/dL.

Platelet count 60,000/mm.

Hemoglobin 148 g/dL.

Urine protein concentration 200.

Answer and Explanation

The Correct Answer is B

A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.

Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.

Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.

Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.

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Correct Answer is C

Explanation

A nurse caring for a client who has hyperemesis gravidarum should anticipate urine ketones test.

Hyperemesis gravidarum is severe nausea and vomiting during pregnancy that results in dehydration, weight loss, and ketosis.

Urine ketones test is done to check for ketosis which is a sign of starvation 2.

Choice A, Rapid plasma reagin, is not an answer because it is a blood test used to screen for syphilis.

Choice B, Prothrombin time, is not an answer because it is a blood test used to measure how long it takes for blood to clot.

Choice D, Urine culture, is not an answer because it is a test used to detect and identify bacteria or yeast that may be causing a urinary tract infection.

A. Indirect Coombs test. B. Serum medication level. C. Liver enzymes. D. Uric acid level.

Correct Answer is B

Explanation

When a client is receiving magnesium sulfate by continuous IV infusion for preterm labor, it is important for the nurse to review the serum medication level to ensure that the client is receiving an appropriate dose and to monitor for signs of magnesium toxicity.
Choice A is not an answer because an indirect Coombs test is used to detect antibodies against red blood cells and is not relevant to magnesium sulfate therapy.
Choice C is not an answer because liver enzymes are not directly relevant to magnesium sulfate therapy.
Choice D is not an answer because uric acid levels are not directly relevant to magnesium sulfate therapy.

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A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?

Correct Answer is B

Explanation

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A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?