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 D
Explanation
A. The surgeon must obtain informed consent before surgery and before the client enters the operating room. This statement reflects misunderstanding.
B. Asking the nurse to explain surgical details indicates the client lacks sufficient information; informed consent requires full understanding from the provider performing the procedure.
C. Expressing uncertainty suggests the client has not yet consented and needs further clarification before signing.
D. This statement accurately reflects informed consent — the client voluntarily signs the form after receiving explanation of the procedure, risks, benefits, and alternatives, indicating understanding and permission.
Correct Answer is D
Explanation
A. Cheyne-Stokes respirations: This is a common sign of approaching death but not necessarily an indication for pain medication.
B. Constricted pupils: This may indicate opioid use or neurological changes, not pain.
C. Mottled skin: Mottling occurs as circulation declines near the end of life, not specifically due to pain.
D. Restlessness: In palliative care, restlessness is often a sign of pain or discomfort, even if the client cannot verbalize pain. The nurse should administer prescribed pain medication to ensure comfort.
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