(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. Have calcium gluconate available at the bedside as an antidote.Magnesium sulfate is used to prevent and treat seizures in women with severe preeclampsia or eclampsia.However, it can also cause toxicity and respiratory depression if the serum level is too high.Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available at the bedside.

Choice A is wrong because the medication should be administered over 20-30 minutes using an infusion pump.

A shorter infusion time may increase the risk of adverse effects.

Choice B is wrong because the client should be placed in a lateral position to improve uteroplacental perfusion and reduce the risk of aspiration.

Choice C is wrong because the client’s blood pressure should be monitored every 5 minutes during the infusion, not every 15 minutes.

Blood pressure is an indicator of the severity of preeclampsia and the effectiveness of magnesium sulfate therapy.

A. Check blood pressure before and after giving the medication B. Give the medication with grapefruit juice to enhance absorption C. Hold the medication if pulse rate is below 60 beats per minute D. Monitor blood glucose levels for signs of hypoglycemia

Correct Answer is A

Explanation

The correct answer is choice A. Check blood pressure before and after giving the medication.Nifedipine is an antihypertensive medication that is used to treat gestational hypertension.It lowers blood pressure by relaxing the blood vessels and reducing the workload of the heart.Checking blood pressure before and after giving the medication helps to monitor the effectiveness and safety of the treatment.

Choice B is wrong because grapefruit juice can interact with nifedipine and increase its blood levels, which can cause excessive lowering of blood pressure or other side effects.Grapefruit juice should be avoided when taking nifedipine.

Choice C is wrong because nifedipine does not affect the pulse rate significantly.Holding the medication if pulse rate is below 60 beats per minute is more appropriate for beta-blockers, such as labetalol, which are another class of antihypertensive medications that can slow down the heart rate.

Choice D is wrong because nifedipine does not cause hypoglycemia.Monitoring blood glucose levels for signs of hypoglycemia is more relevant for medications that lower blood sugar, such as insulin or oral antidiabetic agents.

Normal ranges for blood pressure and pulse rate during pregnancy are 110-140/60-90 mmHg and 60-100 beats per minute, respectively.Normal range for blood glucose level during pregnancy is 70-110 mg/dL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

A nurse is reviewing laboratory results for a client who has HELLP syndrome. Which of the following findings should the nurse expect? (Select all that apply.)

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 caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?

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.)

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

(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 has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

(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?