The nurse is teaching a primigravida about preeclampsia. What finding(s) are indicators of preeclampsia and should be reported to the healthcare provider? Select all that apply.
Swollen hands.
Headache.
Blurred vision.
Lack of appetite.
Chills and fever.
Urinary frequency.
Correct Answer : A,B,C
A. Swollen hands can indicate edema, which is a common sign of preeclampsia. Swelling, especially in the hands, face, or feet, can be due to elevated blood pressure and should be reported to the healthcare provider.
B. Headaches are a concerning symptom in preeclampsia, especially when they are persistent or severe. This is often due to high blood pressure and requires medical evaluation to prevent complications like eclampsia or stroke.
C. Blurred vision is a serious indicator of preeclampsia as it reflects possible neurological involvement or increased blood pressure, which can affect blood flow to the brain and eyes. This is an urgent symptom that needs prompt medical attention.
D. Lack of appetite is not a common or specific symptom of preeclampsia. It may be present in other conditions, but it is not a key indicator of preeclampsia.
E. Chills and fever are typically associated with infections, not preeclampsia. These symptoms do not indicate the presence of preeclampsia and are unrelated to hypertensive disorders of pregnancy.
F. Urinary frequency is more commonly related to pregnancy in general due to the growing uterus pressing on the bladder. It is not specifically associated with preeclampsia. In preeclampsia, a decrease in urine output may be more concerning as it can signal kidney involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","F","G"]
Explanation
A. Humidifier bottle
Rationale: A humidifier bottle is often used with oxygen therapy to add moisture to the oxygen, preventing dryness of the nasal passages and throat. It is important for patient comfort, especially when oxygen is administered at higher flow rates for prolonged periods.
B. Lamb's wool
Rationale: Lamb's wool is not needed for starting oxygen therapy. It is typically used to provide padding and comfort in other situations, such as preventing pressure sores, but it has no role in the administration of oxygen.
C. Flowmeter
Rationale: A flowmeter is necessary to regulate the flow rate of oxygen. It ensures that the client receives the prescribed amount of oxygen (3 L/minute in this case), making it an essential component for administering oxygen therapy.
D. Tape
Rationale: Tape is not required for administering oxygen via a nasal cannula. It might be used to secure tubing in other contexts, but it is not specifically needed for starting oxygen therapy. The nasal cannula usually stays in place without the need for tape.
E. Suction cannister
Rationale: A suction canister is used in suctioning procedures to collect secretions and is not needed for starting oxygen therapy. It is relevant for managing airway secretions but unrelated to the administration of oxygen.
F. Nasal cannula
Rationale: A nasal cannula is the device through which oxygen is delivered to the client. It is specifically mentioned in the order and is essential for administering the oxygen.
G. Sterile water
Rationale: Sterile water is used to fill the humidifier bottle to provide humidified oxygen. This helps to prevent the drying effects of oxygen therapy on the mucous membranes, enhancing patient comfort.
Correct Answer is ["0.2"]
Explanation
Step-by-step Calculation:
- We need to find the volume (in mL) of teriparatide that contains the desired dose of 60 mcg.
- Set up the proportion:
dose (mcg) / concentration (mcg/mL) = volume (mL)
- Fill in the known values:
- Dose (mcg): 60 mcg (as given in the problem)
- Concentration (mcg/mL): 750 mcg/2.4 mL (from the medication label)
- Solve for the volume:
- Multiply both sides of the proportion by the concentration to isolate the volume on the left:
- dose (mcg) = volume (mL) concentration (mcg/mL)
- Substitute the known values:
- 60 mcg = volume (mL) (750 mcg / 2.4 mL)
- Calculate the volume:
- Divide both sides by the concentration to solve for the volume:
- volume (mL) = 60 mcg / (750 mcg / 2.4 mL)
- Simplify:
- volume (mL) = (60 mcg 2.4 mL) / 750 mcg
- volume (mL) = 0.192 mL (approximately)
- Rounding (optional): The problem specifies rounding to the nearest tenth. Since 0.192 is closer to 0.2 than 0.1, the rounded volume is:
- volume (mL) = 0.2 mL (rounded to one decimal place)
Therefore, the nurse should administer 0.2 mL of teriparatide.
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