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

Urine culture

Rapid plasma reagin

Prothrombin time

Urine ketones

Answer and Explanation

The Correct Answer is D

The nurse should anticipate a urine ketones test for a client who has hyperemesis gravidarum. This test is used to monitor the client's ketone levels, which can increase as a result of excessive vomiting and nausea that can cause dehydration and malnutrition. The other tests mentioned are not typically associated with hyperemesis gravidarum.

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Correct Answer is C

Explanation

The priority action in this scenario is to prevent infection. Cleansing the site with povidone-iodine can help reduce the risk of infection. Rectal temperature monitoring and administration of antibiotics may be necessary if infection is suspected, but preventing infection is the priority. Surgical closure may be necessary, but this is not an immediate concern.

A. Decrease in frequency of contractions B. BP 150/100 mm Hg C. Absent deep-tendon reflexes D. Urinary output 35 mL/hr

Correct Answer is C

Explanation

Magnesium sulfate is a medication used to prevent and treat seizures in clients with preeclampsia and eclampsia. It is also used to stop preterm labor. However, magnesium sulfate can cause a variety of side effects, including decreased reflexes, which can be a sign of magnesium toxicity. Therefore, it is important for the nurse to monitor the client for signs of toxicity.

Option A is incorrect because a decrease in the frequency of contractions is a desired effect of magnesium sulfate when it is used to stop preterm labor.

Option B is also incorrect because although a blood pressure of 150/100 mm Hg is elevated, it is not an unexpected finding in a client with preeclampsia, and it may actually be considered an improvement if the client's blood pressure was previously higher.

Option D is incorrect because a urinary output of 35 mL/hr is within the normal range for an adult.

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

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