A nurse is caring for a client with HELLP syndrome who is receiving magnesium sulfate intravenously.
What is the main purpose of this medication?
To prevent seizures
To lower blood pressure
To increase urine output
To improve platelet count
The Correct Answer is C
Maintain a dark and quiet environment. This intervention helps to reduce sensory stimulation and prevent seizures in a client with eclampsia.
Choice A is wrong because monitoring fetal heart rate and uterine activity continuously is not a priority intervention for a client with eclampsia. The priority is to prevent seizures and control blood pressure.
Choice B is wrong because administering oxytocin to augment labor is contraindicated in a client with eclampsia. Oxytocin can increase blood pressure and cause uterine hyperstimulation, which can worsen the condition and endanger the mother and the fetus.
Choice D is wrong because encouraging oral fluids and a high-protein diet is not appropriate for a client with eclampsia.
The client should be kept NPO to prevent aspiration in case of a seizure. A high-protein diet can increase the risk of renal failure and hepatic dysfunction.
Choice E is wrong because assessing for signs of placental abruption is not a specific intervention for a client with eclampsia. Placental abruption can occur as a complication of eclampsia, but it is not the main focus of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Protein excretion of 450 mg indicates proteinuria.Proteinuria is the presence of excess protein in the urine, which can be a sign of kidney damage or disease.Normal protein excretion in a 24-hour urine collection is less than 150 mg.
Choice A is wrong because protein excretion of 150 mg is within the normal range.
Choice B is wrong because protein excretion of 250 mg is slightly above the normal range, but not enough to indicate proteinuria.
Choice C is wrong because protein excretion of 350 mg is also above the normal range, but not enough to indicate proteinuria.
Preeclampsia is a condition that affects some pregnant women, usually after 20 weeks of pregnancy.It causes high blood pressure and proteinuria, which can harm both the mother and the baby.A 24-hour urine collection is a simple lab test that measures what’s in the urine and checks kidney function.The test is done by collecting all the urine passed in a 24-hour period in a special container that must be kept cool until returned to the lab.
Correct Answer is C
Explanation
The target blood pressure goal for a client with severe pre-eclampsia is less than 160/110 mmHg.
This is because lowering the blood pressure too much or too fast can compromise the placental perfusion and fetal oxygenation.
Choice A is wrong because it is the target blood pressure goal for a client with chronic hypertension or gestational hypertension without severe features.
Choice B is wrong because it is the target blood pressure goal for a client with mild pre-eclampsia.
Choice D is wrong because it is too high and can increase the risk of maternal and fetal complications such as stroke, eclampsia, placental abruption, and fetal growth restriction.
Normal blood pressure ranges are less than 120/80 mmHg for systolic and diastolic pressures respectively.
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