Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who is pregnant.

Exhibits
The nurse is reviewing the client's assessment findings.

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.

A.

Hemoglobin

B.

Alanine aminotransferase (ALT)

C.

Platelet count

D.

Blood Pressure

Answer and Explanation

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.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

A. Advance directives can be revised or revoked at any time by a competent client.

B. Family members cannot override the client’s advance directives.

C. The Patient Self-Determination Act (PSDA) ensures that clients have the right to make their own healthcare decisions, including refusing treatment or withdrawing life-sustaining interventions.

D. Financial power of attorney manages financial matters, not healthcare decisions. Healthcare decisions fall under medical power of attorney or healthcare proxy.

Correct Answer is D

Explanation

Rationale:

A. “I will remove dairy products from my diet.” Dairy products (milk, cheese) are not cross-reactive with latex proteins. Avoiding them does not reduce allergic risk.

B. “I will remove gluten from my diet.” Gluten sensitivity (celiac disease) is unrelated to latex allergy. Removing gluten provides no benefit.

C. “I will remove peanuts from my diet.” While peanuts can cause severe allergies, they are not associated with latex cross-reactivity.

D. “I will remove bananas from my diet.” Bananas, avocados, kiwis, chestnuts, and papayas contain proteins structurally similar to latex allergens. This is known as latex–fruit syndrome, where eating these fruits can trigger allergic reactions in latex-sensitive individuals.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register