A nurse is assisting with the admission of a client who has hyperemesis gravidarum. Which of the following laboratory tests is the priority to complete?

Serum bilirubin

Liver enzymes

Urinalysis for ketones

CBC

Answer and Explanation

The Correct Answer is C

(a) Serum bilirubin:
While serum bilirubin can provide useful information about liver function, it is not the most immediate concern for a client with hyperemesis gravidarum. This condition primarily involves severe nausea and vomiting, which can lead to dehydration and ketosis.

(b) Liver enzymes:
Liver enzymes can be elevated in hyperemesis gravidarum, but they are not the primary concern. The immediate priority is to assess the extent of dehydration and metabolic disturbances.

(c) Urinalysis for ketones:
This test is the priority because it helps determine the extent of dehydration and ketosis. In hyperemesis gravidarum, severe vomiting can lead to significant fluid and electrolyte imbalances and ketosis, which need to be identified and corrected promptly to prevent further complications.

(d) CBC:
A complete blood count (CBC) provides useful information about overall health and can identify anemia or infection, but it is not the priority for immediate assessment of hyperemesis gravidarum. The immediate need is to evaluate hydration status and ketosis, which is best done through urinalysis for ketones.

Nursing Test Bank

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Correct Answer is A

Explanation

(D) "I might be experiencing preterm labor if walking stops my contractions."
Walking or changing positions may temporarily alleviate contractions in some cases, but this does not necessarily indicate preterm labor. In fact, true preterm labor contractions typically continue despite activity changes. Therefore, this statement does not demonstrate an accurate understanding of preterm labor signs.

A. Perform unbiased teaching B. Assess the client's socioeconomic status C. Collect a dietary history D. Select the best method of contraception for the client.

Correct Answer is A

Explanation

(A) Perform unbiased teaching:
The nurse should provide comprehensive and unbiased information about the various methods of contraception available. This involves explaining the pros and cons of each method, effectiveness, potential side effects, and how each method aligns with the client's lifestyle and health needs, allowing the client to make an informed decision.

(B) Assess the client's socioeconomic status:
While understanding the client's socioeconomic status can provide context for their healthcare needs and potential barriers to accessing certain types of contraception, it is not the primary action when inquiring about contraception methods. The focus should be on providing unbiased information first.

(C) Collect a dietary history:
Collecting a dietary history is not directly relevant to discussing contraception methods. While nutritional status is important for overall health, it does not significantly impact the choice of contraception.

(D) Select the best method of contraception for the client:
The nurse should not select the contraception method for the client. Instead, the nurse's role is to provide the necessary information and support for the client to make their own informed choice. Autonomy and personal preference are key factors in selecting a contraception method.

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A nurse is assisting with the admission of a client who has hyperemesis gravidarum. Which of the following laboratory tests is the priority to complete?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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