The nurse is continuing to care for the client.

Exhibits

The nurse is reviewing the assessment findings.

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Blood pressure

Elevated alanine aminotransferase (ALT)

Platelet count

Hemoglobin

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}

Finding	Preeclampsia	HELLP syndrome
Blood pressure	✓	✓
Elevated alanine aminotransferase (ALT)		✓
Platelet count		✓
Hemoglobin		✓

Rationale:

Preeclampsia: Characterized by hypertension and proteinuria.

HELLP syndrome: A severe form of preeclampsia, characterized by hemolysis, elevated liver enzymes (ALT, AST), and low platelet count.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Place the client's hands in warm water: This action can stimulate the client’s natural reflex to urinate. The warm water helps relax the muscles involved in urination.

B. Administer a benzodiazepine: Incorrect. Benzodiazepines are not indicated for difficulty urinating postpartum and can cause unnecessary sedation.

C. Place an ice pack on the client's perineum: Incorrect. An ice pack is typically used to reduce swelling or discomfort, but it is not a primary intervention for urinary retention.

D. Perform a fundal massage: Incorrect. Fundal massage is performed to assess uterine tone, not for urinary retention.

A. "Using this machine increases my risk of overdose." B. "I can get pain medication any time as long as I press the button." C. "I will receive a limited amount of pain medication when I press the button." D. "My partner can press my pain medication button for me if I am sleeping."

Correct Answer is C

Explanation

A. The risk of overdose is minimized by the device's programming.

B. The medication is limited based on a preset dose and frequency.

C. PCA pumps deliver a controlled dose of medication, preventing overdose by limiting the amount dispensed.

D. Only the client should press the button to ensure safety.

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The nurse is continuing to care for the client. Exhibits The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?

A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which in the client's findings are potential indication of increased intracranial pressure?

A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bed pan. The client states, "I've always used the bathroom." Which of the following responses should the nurse make?

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

A nurse working in the emergency department (ED) is admitting a client. Exhibits The nurse is preparing the client for a thoracentesis. Select the 4 actions that the nurse should take.

A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take?

The nurse is continuing to care for the client.

Exhibits

The nurse is reviewing the assessment findings.

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.