A nurse is caring for a client who is pregnant.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at greatest risk for developing
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A"}
Seizures: The client’s severe hypertension (BP 166/110 mm Hg), proteinuria (3+), and neurological symptoms (headache) place her at high risk for eclampsia, which is characterized by the onset of seizures in a client with preeclampsia.
Placental abruption: Severe preeclampsia increases the risk of placental abruption, which is the premature separation of the placenta from the uterine wall, especially in clients with high blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Initial assessments require nursing judgment and are performed only by licensed nurses.
B. Interpreting lab results requires critical thinking and is within the RN’s scope, not that of assistive personnel.
C. Changing a nonsterile dressing is a basic, routine task that can be delegated to assistive personnel if the client’s condition is stable and the nurse has assessed the client first.
D. Teaching and evaluating understanding are nursing responsibilities that require professional judgment and cannot be delegated.
Correct Answer is ["B","C","E"]
Explanation
A. Polydipsia (excessive thirst) occurs with hyperglycemia, not hypoglycemia, as the body attempts to dilute elevated blood glucose levels.
B. Tremors occur due to activation of the sympathetic nervous system in response to falling glucose levels.
C. The brain depends on glucose; decreased levels cause neuroglycopenic symptoms like poor concentration, confusion, or irritability.
D. Acetone (fruity) breath odor occurs in diabetic ketoacidosis due to ketone production from fat metabolism, a sign of hyperglycemia, not hypoglycemia.
E. Diaphoresis is a hallmark autonomic symptom of hypoglycemia, resulting from catecholamine release.
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