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 D
Explanation
A. Ibuprofen is not recommended during pregnancy, particularly in the third trimester, due to potential risks to the fetus.
B. Testing the baby’s cord blood is not a standard method to detect HSV transmission.
C. Cortisone cream is not typically used to treat HSV lesions.
D. Cesarean birth is recommended if there are active lesions at the time of labor to prevent neonatal transmission.
Correct Answer is C
Explanation
A. Provide a tracheostomy tray at the bedside: Incorrect. A tracheostomy tray is not necessary unless the client has a tracheostomy, which is not typically indicated for seizure precautions.
B. Place the client in supine position: Incorrect. The client should be placed on their side to prevent aspiration and promote airway patency during and after a seizure.
C. Insert an IV saline lock: A saline lock is essential in case the client needs emergency medication or fluids, especially during or after a seizure. It allows for quick IV access without continuous infusion.
D. Place a plastic tongue depressor at the client's bedside: Incorrect. A tongue depressor should never be inserted into the mouth during a seizure as it can lead to injury. The priority is to protect the client’s airway and prevent harm.
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