A nurse is reviewing the laboratory results of a client with HELLP syndrome.

Which of the following findings would indicate hemolysis?

Elevated serum creatinine

Elevated serum lactate dehydrogenase (LDH)

Elevated serum alkaline phosphatase (ALP)

Elevated serum uric acid

Answer and Explanation

The Correct Answer is B

Elevated serum lactate dehydrogenase (LDH) indicates hemolysis, which is one of the components of HELLP syndrome. Hemolysis is the destruction of red blood cells that occurs when they pass through damaged blood vessels.

Choice A is wrong because elevated serum creatinine indicates kidney dysfunction, which is not specific for hemolysis.

Choice C is wrong because elevated serum alkaline phosphatase (ALP) indicates liver damage, which is another component of HELLP syndrome, but not specific for hemolysis.

Choice D is wrong because elevated serum uric acid indicates increased purine metabolism, which can be associated with preeclampsia and HELLP syndrome, but not specific for hemolysis.

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Correct Answer is A

Explanation

This indicates that the client has respiratory depression, which is a sign of magnesium toxicity.Magnesium sulfate is given to prevent and treat seizures in clients with eclampsia, but it can also cause adverse effects such as hypotension, decreased urine output, absent or diminished reflexes, and cardiac arrest.

Choice B is wrong because urine output of 50 mL/hr is within the normal range and does not indicate magnesium toxicity.The nurse should monitor the client’s urine output closely and report any decrease below 30 mL/hr.

Choice C is wrong because serum magnesium level of 6 mg/dL is within the therapeutic range of 4 to 7 mg/dL for clients receiving magnesium sulfate.The nurse should monitor the client’s serum magnesium level regularly and report any increase above 8 mg/dL, which indicates toxicity.

Choice D is wrong because patellar reflex of 2+ is normal and does not indicate magnesium toxicity.The nurse should assess the client’s deep tendon reflexes frequently and report any decrease or absence of reflexes, which indicates toxicity.

A. Hyperreflexia B. Tachycardia C. Oliguria D. Hypertension

Correct Answer is C

Explanation

Fetal heart rate decelerations indicate a possible compromise of fetal oxygenation and should be reported to the provider immediately.Decelerations can be caused by various factors such as cord compression, uterine hyperstimulation, maternal hypotension, or placental abruption.

Choice A is wrong because a fetal heart rate of 140 beats per minute is within the normal range of 110 to 160 beats per minute.

Choice B is wrong because uterine contractions every 10 minutes are not abnormal in a client with severe pre-eclampsia who is receiving magnesium sulfate.Magnesium sulfate is used to prevent seizures and lower blood pressure in pre-eclampsia, but it does not stop labor.

Choice D is wrong because uterine contractions lasting 60 seconds are not a sign of …

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A nurse is reviewing the laboratory results of a client with HELLP syndrome. Which of the following findings would indicate hemolysis?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has eclampsia and is receiving magnesium sulfate IV. Which of the following findings should alert the nurse to suspect magnesium toxicity?

Correct Answer is A

Explanation

A nurse is caring for a client with eclampsia who is receiving magnesium sulfate intravenously. Which of the following findings indicates magnesium toxicity?

Correct Answer is C

Explanation

(select all that apply) A nurse is planning care for a client with eclampsia who is scheduled for delivery as soon as possible. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

A nurse is caring for a client with HELLP syndrome who is receiving magnesium sulfate intravenously. What is the main purpose of this medication?

A nurse is preparing to administer magnesium sulfate IV to a client who has severe pre-eclampsia. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is monitoring a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously. Which of the following signs indicates magnesium toxicity and requires immediate intervention?

A nurse is assessing a client with eclampsia who is having a seizure. Which of the following actions should the nurse take first?

A nurse is assessing the fetal heart rate and uterine activity of a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously. Which of the following findings should the nurse report to the provider immediately?

A nurse is teaching a client with eclampsia about the purpose of corticosteroid therapy. Which of the following statements by the client indicates understanding of the teaching?

A nurse is administering corticosteroids to a client with severe pre-eclampsia who is 32 weeks pregnant. What is the main purpose of giving corticosteroids to this client?

A nurse is reviewing the laboratory results of a client with HELLP syndrome.

Which of the following findings would indicate hemolysis?