(Select all that apply).

A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago.

Which of the following statements by the client would indicate a need for further teaching?

I should continue to take my blood pressure medication as prescribed until my next check-up

I should report any signs of headache, blurred vision, or abdominal pain to my provider

I should avoid breastfeeding my baby until my blood pressure returns to normal.

I should limit my salt intake and drink plenty of fluids.

I should weigh myself daily and report any sudden weight gain to my provider

Answer and Explanation

Correct Answer : A,B,D,E

The correct answer is choice C. Choice C is wrong because breastfeeding is not contraindicated for women with gestational hypertension. Breastfeeding has many benefits for both the mother and the baby, and it does not affect blood pressure.

Choice A is correct because blood pressure medication should be continued as prescribed until the next check-up. Stopping medication abruptly can cause a rebound increase in blood pressure and increase the risk of complications.

Choice B is correct because headache, blurred vision, or abdominal pain are signs of severe preeclampsia, a serious complication of gestational hypertension that can affect the brain, liver, and kidneys. These symptoms should be reported to the provider immediately.

Choice D is correct because limiting salt intake and drinking plenty of fluids can help lower blood pressure and prevent fluid retention.

Salt can cause the body to hold on to excess water, which increases blood volume and blood pressure. Fluids can help flush out excess salt and keep the body hydrated.

Choice E is correct because weighing oneself daily and reporting any sudden weight gain to the provider can help monitor fluid balance and detect signs of preeclampsia. A weight gain of more than 2 pounds in a week or 5 pounds in a month may indicate fluid accumulation and increased blood pressure.

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Correct Answer is D

Explanation

The correct answer is choice D. Hemoglobin 6 g/dL, platelets 25,000/mm3, AST 120 U/L, ALT 100 U/L.

This is because HELLP syndrome is a pregnancy complication that causes hemolysis (breaking down of red blood cells), elevated liver enzymes (indicating liver injury), and low platelet count (impairing blood clotting).

Choice A is wrong because hemoglobin 12 g/dL, platelets 150,000/mm3, AST 20 U/L, ALT 18 U/L are all within normal ranges and do not indicate HELLP syndrome.

Choice B is wrong because hemoglobin 10 g/dL, platelets 100,000/mm3, AST 40 U/L, ALT 35 U/L are mildly abnormal and may suggest mild preeclampsia but not HELLP syndrome.

Choice C is wrong because hemoglobin 8 g/dL, platelets 50,000/mm3, AST 80 U/L, ALT 70 U/L are moderately abnormal and may suggest moderate preeclampsia or incomplete HELLP syndrome but not full HELLP syndrome.

Normal ranges for these laboratory tests are:

• Hemoglobin: 11.5 to 16.5 g/dL for women.

• Platelets: 150,000 to 450,000/mm3 for adults.

• AST: 10 to 40 U/L for adults.

• ALT: 7 to 56 U/L for adults.

A. Tachycardia B. Headache C. Nausea D. Hyperkalemia E. Oliguria

Correct Answer is ["A","B"]

Explanation

The correct answer is choice A and B. Hydralazine is a drug that lowers blood pressure by relaxing the blood vessels.It can cause some side effects such astachycardia(fast heart rate) andheadache.

These are common and may go away during treatment.

However, if they are severe or persistent, the nurse should monitor the client and report to the doctor.

Choice C is wrong because nausea is not a common side effect of hydralazine.

It may be caused by other factors such as pregnancy or infection.

Choice D is wrong because hyperkalemia (high potassium level in the blood) is not a side effect of hydralazine.

It may be caused by other drugs such as angiotensin-converting enzyme inhibitors or potassium-sparing diuretics.

Choice E is wrong because oliguria (low urine output) is not a side effect of hydralazine.

It may be a sign of kidney damage or dehydration.

The nurse should monitor the client’s fluid intake and output and report any changes to the doctor.

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(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

Correct Answer is D

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

A nurse is caring for a client with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).

Which of the following factors increases a woman’s risk for developing gestational hypertension.

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

A client is diagnosed with preeclampsia and is receiving magnesium sulfate IV for seizure prophylaxis. The nurse should monitor which of the following laboratory values?

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

A nurse is administering nifedipine to a client with gestational hypertension as prescribed by the provider. Which of the following actions would the nurse take to ensure safe administration of this medication?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

(Select all that apply).

A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago.

Which of the following statements by the client would indicate a need for further teaching?