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. Serum creatinine 1.4 mg/dL B. Aspartate aminotransferase (AST) 80 U/L C. Alanine aminotransferase (ALT) 90 U/L D. Lactate dehydrogenase (LDH) 500 U/L E. Platelet count 120 x 10^9/L

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

Explanation

The correct answer is choice B, C and D. These results indicate hepatic involvement because they are elevated above the normal ranges.According to, the normal ranges for AST, ALT and LDH are:

• AST: 8 to 48 U/L

• ALT: 7 to 55 U/L

• LDH: 122 to 222 U/L

Choice A is wrong because serum creatinine is not a marker of liver function, but of kidney function.The normal range for serum creatinine is 0.6 to 1.3 mg/dL for adults.

Choice E is wrong because platelet count is not a marker of liver function, but of blood clotting ability.The normal range for platelet count is 150 to 450 x 10^9/L.

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

Correct Answer is ["B","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?

A nurse is providing discharge teaching to a client who had preeclampsia and delivered a healthy baby at 38 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

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 client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia. She has a history of chronic hypertension and gestational diabetes. The nurse anticipates that the client will receive which of the following medications to prevent seizures?

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 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 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?

(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia. Which of the following findings should the nurse report to the provider immediately?

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?