The nurse is continuing to care for the client.
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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Seizures: The client's elevated blood pressure, severe headache, and hyperreflexia are indicative of preeclampsia, which can lead to eclampsia and seizures.
- Placental abruption: The client's history of preterm birth and current symptoms of severe headache, decreased fetal movement, and proteinuria increase the risk of placental abruption
Correct Answer is C
Explanation
A. Using a surge protector with multiple appliances increases the risk of electrical overload and is not recommended.
B. A frayed cord poses a safety hazard and should be reported immediately; the infusion should not proceed.
C. The nurse should check the expiration date on the safety inspection sticker to ensure the infusion pump has passed recent safety inspections and is safe to use.
D. The extension cord must be grounded for safety; ungrounded cords increase the risk of electrical shock.
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