A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby.

Which statement by the client indicates a need for further teaching?

“I will monitor my blood pressure at home for the next few weeks.”

“I will report any headache, vision changes, or abdominal pain to my doctor.”

“I will resume my normal activities as soon as I get home.”

“I will continue to take my prenatal vitamins and iron supplements.”

Answer and Explanation

The Correct Answer is C

The client should not resume normal activities as soon as she gets home because she is still at risk for complications from preeclampsia. She should rest as directed by her healthcare provider and avoid strenuous activities that may increase her blood pressure.

Choice A is wrong because monitoring blood pressure at home is a recommended practice for clients who had preeclampsia. It can help detect any signs of worsening hypertension or organ damage.

Choice B is wrong because reporting any headache, vision changes, or abdominal pain to the doctor is a crucial step to prevent serious complications from preeclampsia. These symptoms may indicate damage to the brain, eyes, or liver and require immediate medical attention.

Choice D is wrong because continuing to take prenatal vitamins and iron supplements is beneficial for the client’s recovery and health. Prenatal vitamins can provide essential nutrients that may be lacking in the diet, and iron supplements can prevent or treat anemia that may result from blood loss during delivery.

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Correct Answer is ["C","D"]

Explanation

The correct answer is choice C and D.Epigastric pain and decreased fetal movement are signs of severe pre-eclampsia that indicate damage to the liver and placenta respectively.These symptoms should be reported to the health care provider immediately as they may lead to serious complications such as eclampsia, HELLP syndrome, placental abruption or fetal growth restriction.

Choice A is wrong because sudden weight gain is a common symptom of mild pre-eclampsia that does not necessarily require immediate attention.However, it should be monitored regularly along with blood pressure and urine protein levels.

Choice B is wrong because swelling of the face and hands is also a common symptom of mild pre-eclampsia that does not indicate severe organ damage.It may be caused by fluid retention or edema.

Choice E is wrong because vaginal bleeding is not a typical symptom of pre-eclampsia.It may be a sign of other pregnancy complications such as placenta previa, placental abruption or cervical infection.

A. Administer magnesium sulfate as prescribed B. Monitor the fetal heart rate and movement C. Encourage bed rest in a left lateral position D. Educate the client about the signs of eclampsia

Correct Answer is C

Explanation

This is because bed rest can lower blood pressure and improve blood flow to the placenta and the fetus.The left lateral position reduces pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.

Choice A is wrong because magnesium sulfate is used to prevent seizures in severe preeclampsia or eclampsia, not mild preeclampsia.

Choice B is wrong because monitoring the fetal heart rate and movement is important, but not the priority for this client.

Choice D is wrong because educating the client about the signs of eclampsia is not urgent and may not prevent the progression of preeclampsia.Some signs of eclampsia are severe headaches, blurred vision, nausea, vomiting, abdominal pain and seizures.

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A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

Correct Answer is C

Explanation

A nurse is preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

A nurse is assessing a client with severe pre-eclampsia who reports a severe headache and blurred vision. The nurse notes that the client has hyperreflexia with clonus. What is the most likely explanation for these findings?

A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg. What is the expected outcome of this medication?

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia who is receiving magnesium sulfate. Which finding would indicate a therapeutic level of magnesium sulfate?

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia. Which of the following results would indicate hepatic involvement? (Select all that apply.)

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate. Which of the following findings would indicate magnesium toxicity and require immediate intervention?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate infusion. Which of the following assessments is most important for the nurse to monitor?

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby.

Which statement by the client indicates a need for further teaching?