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 {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}
Explanation
|
Assessment Findings |
Sprain |
Fracture |
Dislocation |
|
Ecchymosis |
✅ |
✅ |
✅ |
|
Pain level |
✅ |
✅ |
✅ |
|
Edema |
✅ |
✅ |
✅ |
|
Sensation |
✅ |
✅ |
Rationale:
Ecchymosis (bruising):
Sprain: Common due to soft tissue damage.
Fracture: Frequently present due to bone and soft tissue injury.
Dislocation: Bruising often accompanies joint dislocation.
Pain level:
Sprain: Moderate pain, often exacerbated by movement.
Fracture: Pain is typically sharp and worsens with movement or weight-bearing.
Dislocation: Severe pain due to misalignment of the joint.
Edema:
Sprain: Common due to inflammation from ligament injury.
Fracture: Swelling is typical around the fracture site.
Dislocation: Edema occurs due to joint misalignment and tissue trauma.
Sensation (tingling):
Sprain: Nerve compression or irritation may cause tingling.
Fracture: Tingling can result from nerve involvement or swelling near the fracture site.
Dislocation: Tingling is less common unless nerve damage occurs, which is more serious and often leads to numbness or motor impairment.
Correct Answer is B
Explanation
A. Low-protein supplements are not recommended; high-protein, high-calorie foods are encouraged to maintain nutrition.
B. Cold foods are often more tolerable for clients experiencing anorexia, as they are less odorous and may help reduce nausea.
C. Serving the largest meal in the evening is inappropriate as appetite typically decreases later in the day; it’s better to serve meals when the client feels most hungry.
D. Drinking large amounts of fluid with meals can lead to early satiety, reducing overall intake.
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