A nurse is caring for a client who is pregnant.
For each of the client's assessment finding. click to specify if the finding is consistent with preeclampsia with severe features or HELLP syndrome. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.
Hemoglobin
Alanine aminotransferase (ALT)
Platelet count
Blood Pressure
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Hemoglobin 18.0 g/dL
Preeclampsia: Mild hemoconcentration can occur due to third spacing and fluid shift.
HELLP Syndrome: HELLP is more characterized by low hemoglobin due to hemolysis rather than high hemoglobin.
Alanine aminotransferase (ALT) 40 units/L
Preeclampsia: Liver enzymes can be mildly elevated in severe preeclampsia, but not as prominent as in HELLP.
HELLP Syndrome: Consistent finding. Elevated ALT reflects liver dysfunction, one of the hallmark components of HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets).
Platelet count 98,000/mm³
Preeclampsia: Thrombocytopenia can occur in severe preeclampsia. Platelets <100,000/mm³ is concerning for progression to severe disease.
HELLP Syndrome: Consistent finding. Low platelets are a key diagnostic criterion of HELLP syndrome.
Blood Pressure 162/112 mm Hg
Preeclampsia: Consistent finding. Hypertension (≥140/90 mm Hg) is the primary diagnostic criterion for preeclampsia.
HELLP Syndrome: Often present with elevated blood pressure as well. HELLP is a variant of severe preeclampsia so elevated BP is common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The nurse recommends the adolescent notify the provider immediately if a change in moodor engagement in sexual activityoccurs during therapy.
Rationale:
A change in mood: Isotretinoin carries a risk of depression, mood swings, or suicidal ideation. Adolescents should report any sudden mood changes immediately.
Engagement in sexual activity: Isotretinoin is highly teratogenic. Although the adolescent currently has a negative pregnancy test, any sexual activity could increase the risk of pregnancy, which requires strict precautions and provider notification.
Nausea, dry mouth, dry eyes, sunburn, decreased night vision, worsening acne: These are common side effects of isotretinoin and should be monitored, but they do not require immediate notification unless severe or persistent.
Correct Answer is C
Explanation
A. The nurse should wear gloves when handling testosterone gel to prevent accidental absorption, but clean gloves are insufficient; disposable protective gloves must be used for safety.
B. The gel should never be applied to the genital region because it can cause skin irritation and unpredictable absorption. Recommended sites include the shoulders, upper arms, or abdomen, depending on the brand.
C. Waiting at least 1 hour before showering or swimming ensures full absorption of testosterone into the skin, maintaining therapeutic efficacy and preventing unintentional transfer to others.
D. Serum testosterone levels are typically checked after several weeks (not 1 week) of therapy to allow stabilization and accurate assessment of the dosage’s effectiveness.
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