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 C

Explanation

(a) Peanut butter:
Peanut butter is a good source of protein and healthy fats, but it is not particularly high in calcium. While it has some nutritional benefits, it would not significantly contribute to increasing calcium levels.

(b) Avocados:
Avocados are rich in healthy fats, vitamins, and minerals, but they are not a significant source of calcium. They provide numerous other health benefits, but they do not help much with increasing calcium levels.

(c) Yogurt:
Yogurt is an excellent source of calcium. It is highly recommended for individuals needing to increase their calcium intake because it is rich in calcium and also provides protein and probiotics, which are beneficial during pregnancy.

(d) Long-grain rice:
Long-grain rice is a good source of carbohydrates and some vitamins, but it is not a significant source of calcium. Including it in the diet would not effectively help in addressing a low calcium level.

A. Increased fundal height B. Poor skin turgor C. Decreased pulse rate D. Proteinuria

Correct Answer is B

Explanation

(A) Increased fundal height:
Hyperemesis gravidarum, severe nausea, and vomiting during pregnancy, typically does not cause an increased fundal height. Fundal height may be normal or even decreased due to dehydration and weight loss.

(B) Poor skin turgor:
Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.

(C) Decreased pulse rate:
Hyperemesis gravidarum usually results in dehydration and hypovolemia, which can lead to an increased heart rate rather than a decreased pulse rate. The body compensates for decreased fluid volume by increasing the heart rate to maintain adequate circulation.

(D) Proteinuria:
Proteinuria, the presence of abnormal amounts of protein in the urine, is not typically associated with hyperemesis gravidarum. Proteinuria can be a sign of kidney dysfunction or other medical conditions but is not directly related to severe nausea and vomiting during pregnancy.

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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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Explanation

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Explanation

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