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.
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Related Questions
Correct Answer is D
Explanation
A. Histamine 2-receptor antagonists do not directly neutralize hydrochloric acid (HCl) in the stomach. Instead, they reduce acid secretion by blocking the histamine 2 receptors on parietal cells, thereby decreasing the production of gastric acid.
B. This describes the mechanism of action of anticholinergic medications, not histamine 2- receptor antagonists.
C. Histamine 2-receptor antagonists do not have antimicrobial properties and are not used to destroy microorganisms causing stomach inflammation. They primarily target acid secretion.
D. This is the correct purpose of histamine 2-receptor antagonists. They work by blocking the action of histamine on parietal cells in the stomach, leading to a reduction in the secretion of hydrochloric acid. This helps in the management of peptic ulcer disease and other conditions related to excessive gastric acid secretion.
Correct Answer is B
Explanation
A. Respiratory acidosis. Respiratory acidosis occurs when there is hypoventilation, leading to an accumulation of carbon dioxide and increased acidity in the blood. Hyperventilation, as described in the scenario, would not lead to respiratory acidosis.
B. Respiratory alkalosis. Hyperventilation leads to respiratory alkalosis by blowing off excessive carbon dioxide, resulting in decreased levels of carbonic acid and increased blood pH.
C. Metabolic acidosis. Metabolic acidosis results from an accumulation of acids or loss of bicarbonate ions. The scenario does not indicate factors leading to metabolic acidosis.
D. Metabolic alkalosis. Metabolic alkalosis occurs due to excessive loss of acids or increased bicarbonate levels, neither of which is suggested in the scenario.
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