A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management.

Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

Tachycardia

Headache

Nausea

Hyperkalemia

Oliguria

Answer and Explanation

Correct Answer : A,B

The correct answer is choice A and B. Hydralazine is a drug that lowers blood pressure by relaxing the blood vessels. It can cause some side effects such as tachycardia (fast heart rate) and headache.

These are common and may go away during treatment.

However, if they are severe or persistent, the nurse should monitor the client and report to the doctor.

Choice C is wrong because nausea is not a common side effect of hydralazine.

It may be caused by other factors such as pregnancy or infection.

Choice D is wrong because hyperkalemia (high potassium level in the blood) is not a side effect of hydralazine.

It may be caused by other drugs such as angiotensin-converting enzyme inhibitors or potassium-sparing diuretics.

Choice E is wrong because oliguria (low urine output) is not a side effect of hydralazine.

It may be a sign of kidney damage or dehydration.

The nurse should monitor the client’s fluid intake and output and report any changes to the doctor.

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Correct Answer is ["A","C","D"]

Explanation

The correct answer is choice A, C and D.These interventions can help prevent or delay the development of preeclampsia by reducing blood pressure, monitoring fetal well-being and assessing for signs of worsening condition.

Choice B is wrong because corticosteroids are not used to prevent preeclampsia, but to enhance fetal lung maturity in case of preterm delivery.

Choice E is wrong because a diet high in protein and low in carbohydrates is not recommended for gestational hypertension or preeclampsia.A balanced diet with adequate calcium, magnesium and antioxidants is advised.

A. Cerebral hemorrhage B. Pulmonary edema C. Liver rupture D. Disseminated intravascular coagulation

Correct Answer is A

Explanation

The correct answer is choice A. Cerebral hemorrhage.Eclampsia is a severe complication of preeclampsia that causes seizures and can lead to stroke or death.Cerebral hemorrhage is bleeding in the brain that can result from high blood pressure and swelling in the brain caused by eclampsia.It is one of the most common causes of death in women with eclampsia.

Choice B. Pulmonary edema is wrong because it is not the most common cause of death in women with eclampsia.

Pulmonary edema is fluid accumulation in the lungs that can impair breathing and oxygen exchange.It can occur as a complication of eclampsia, but it is less frequent than cerebral hemorrhage.

Choice C. Liver rupture is wrong because it is not the most common cause of death in women with eclampsia.

Liver rupture is a rare but serious complication of eclampsia that involves bleeding from the liver due to increased pressure and damage to the liver tissue.It can cause severe abdominal pain, shock and death.

Choice D. Disseminated intravascular coagulation (DIC) is wrong because it is not the most common cause of death in women with eclampsia.

DIC is a condition where the blood clotting system becomes overactive and forms clots throughout the body, leading to bleeding and organ failure.It can occur as a complication of eclampsia, but it is less common than cerebral hemorrhage.

Normal ranges for blood pressure are below 140/90 mmHg and for proteinuria are below 300 mg/24 hours or below 30 mg/dL in a urine sample.

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A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

Correct Answer is ["A","C","D"]

Explanation

What is the most common cause of death in women with eclampsia.

Correct Answer is A

Explanation

Which of the following factors increases a woman’s risk for developing gestational hypertension.

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

Which of the following is a sign or symptom of gestational hypertension?

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management.

Which of the following adverse effects should the nurse monitor for? (Select all that apply.)