The nurse is continuing to care for the client.

Exhibits
Which of the following conditions is the client is at greatest risk for developing? Select all that apply

seizures

hypoglycemia

cervical insufficiency

heart failure

placental abruption

Answer and Explanation

Correct Answer : A,E

Rationale for Correct Choices

• Seizures: The client’s BP of 166/110 mm Hg, +3 pitting edema, hyperreflexia (4+), and 3+ proteinuria are hallmark findings of severe preeclampsia, which places the client at high risk for progression to eclampsia (seizures). Cerebral edema and vasospasm associated with preeclampsia can precipitate convulsions if untreated.

• Placental abruption: Severe hypertension causes vasoconstriction and endothelial damage in uteroplacental vessels, predisposing the placenta to premature separation. This can lead to fetal distress, decreased movement, and potential maternal hemorrhage, both consistent with placental abruption risk in preeclampsia.

Rationale for Incorrect Choices

• Hypoglycemia: This condition is not related to preeclampsia; it more commonly occurs in clients with diabetes or from medication effects such as insulin overuse.

• Cervical insufficiency: This condition involves painless cervical dilation leading to preterm birth, unrelated to hypertension or proteinuria.

• Heart failure: Although hypertension increases cardiac workload, the current findings (normal heart rate, no dyspnea, clear lungs) do not indicate heart failure in this client.

Nursing Test Bank

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Correct Answer is C

Explanation

Rationale:
A. Red meat: Red meat is often high in saturated fat and cholesterol, which can contribute to hypertension and cardiovascular disease. Regular consumption may increase blood pressure and arterial stiffness, so clients with hypertension should limit or avoid it.

B. Canned black beans: Although beans are generally healthy, canned varieties are often high in sodium, which can worsen hypertension. Unless the beans are labeled low-sodium or rinsed thoroughly before eating, they can contribute to elevated blood pressure.

C. Fish: Fish, especially fatty varieties like salmon or mackerel, are rich in omega-3 fatty acids, which support cardiovascular health by reducing inflammation and improving lipid profiles. Including fish in the diet promotes heart health and helps manage blood pressure effectively.

D. Cheese: Cheese contains significant amounts of sodium and saturated fat, both of which can increase blood pressure and cardiovascular risk. Clients with hypertension should consume cheese in moderation or select low-sodium, low-fat varieties when possible.

A. "I know it will be a couple of weeks before the medication helps me feel better." B. "I can continue to take St. John's wort while taking this medication." C. "I expect this medication to raise my blood pressure." D. "I should take this medication on an empty stomach."

Correct Answer is A

Explanation

Rationale:
A. "I know it will be a couple of weeks before the medication helps me feel better.": Tricyclic antidepressants like amitriptyline require 1–3 weeks to begin showing therapeutic effects. Understanding the delayed onset helps the client maintain adherence and avoid premature discontinuation due to perceived lack of efficacy.

B. "I can continue to take St. John's wort while taking this medication.": Combining amitriptyline with St. John’s wort can increase the risk of serotonin syndrome. Clients should avoid herbal supplements that may interact with antidepressants.

C. "I expect this medication to raise my blood pressure.": Amitriptyline more commonly causes orthostatic hypotension rather than hypertension. Clients should be aware of potential dizziness and fall risk associated with blood pressure drops.

D. "I should take this medication on an empty stomach": Incomplete statement, but typically, amitriptyline is taken at bedtime to minimize daytime sedation and anticholinergic side effects. Timing should be clarified to optimize safety and adherence.

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The nurse is continuing to care for the client. Exhibits Which of the following conditions is the client is at greatest risk for developing? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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The nurse is continuing to care for the client.

Exhibits
Which of the following conditions is the client is at greatest risk for developing? Select all that apply