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.
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Related Questions
Correct Answer is A
Explanation
According to Mayo Clinic, loss of reflexes is a sign of magnesium toxicity and requires immediate intervention.
Other signs of magnesium toxicity include:
• Decreased urine output
• Difficulty breathing
• Drowsiness or confusion
• Low blood pressure
• Slow heart rate
• Weakness
Choice B is wrong because headache is not a sign of magnesium toxicity.
It may be a symptom of preeclampsia or other conditions, but it does not indicate an overdose of magnesium sulfate.
Choice C is wrong because nausea is not a sign of magnesium toxicity.
It may be a side effect of magnesium sulfate or a symptom of preeclampsia or other conditions, but it does not indicate an overdose of magnesium sulfate.
Choice D is wrong because blurred vision is not a sign of magnesium toxicity.
It may be a symptom of preeclampsia or other conditions, but it does not indicate an overdose of magnesium sulfate.
Correct Answer is C
Explanation
To accelerate fetal lung maturity.Corticosteroids are given to pregnant women with severe pre-eclampsia who are at risk of preterm delivery to help the development of the fetus’s lungs and reduce the risk of respiratory distress syndrome.
This can improve the survival and health outcomes of the newborn.
Choice A is wrong because corticosteroids do not reduce inflammation in pre-eclampsia.They are used for other inflammatory conditions such as asthma or arthritis.
Choice B is wrong because corticosteroids do not prevent infection in pre-eclampsia.They can actually increase the risk of infection by suppressing the immune system.
Choice D is wrong because corticosteroids do not increase platelet count in pre-eclampsia.They can actually decrease the platelet count by causing thrombocytopenia.
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