The nurse knows that hydralazine, while magnesium sulfate will help prevent seizures, will help decrease blood pressure thus?
Improving kidney function.
Supporting liver health.
Preventing arrhythmias.
Lowering cholesterol levels.
The Correct Answer is A
Choice A rationale
Hydralazine decreases blood pressure by vasodilation, improving renal perfusion and function. Enhanced kidney function promotes diuresis, balancing fluid levels and reducing hypertension.
Choice B rationale
While controlling blood pressure indirectly benefits liver health, hydralazine's primary effect on vasodilation does not directly support liver function.
Choice C rationale
Hydralazine primarily lowers blood pressure through vasodilation. Preventing arrhythmias is more directly associated with medications affecting cardiac conduction rather than vasodilators.
Choice D rationale
Lowering cholesterol levels is not a direct effect of hydralazine. Its primary action is reducing blood pressure through vascular smooth muscle relaxation, decreasing hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Caput succedaneum is a benign swelling of the soft tissues of the scalp that crosses suture lines and does not require drainage.
Choice B rationale
Cephalhematoma is a collection of blood between the skull and periosteum that does not cross suture lines; it may contribute to jaundice as it is reabsorbed by the body.
Choice C rationale
While cephalhematoma usually resolves without intervention, it is important to monitor for potential complications, including jaundice, due to the breakdown of red blood cells.
Choice D rationale
Caput succedaneum typically resolves on its own without intervention, as the fluid is gradually absorbed by the body over time.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Evaluating fetal heart rate and contraction patterns is critical as magnesium sulfate can impact uterine activity and fetal well-being. Monitoring ensures timely intervention if abnormalities in fetal status or labor progression are detected.
Choice B rationale
Obtaining a prescription to repeat the hepatic panel is necessary to monitor liver function, especially if there is a suspicion of HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count) which complicates severe preeclampsia.
Choice C rationale
Monitoring for evidence of seizure activity is crucial as the patient is receiving magnesium sulfate for eclampsia prophylaxis. Close observation helps in early detection and management of any seizure episodes, preventing complications.
Choice D rationale
Checking urinary output in an hourly urinometer is essential to assess renal function, as preeclampsia and magnesium sulfate can affect renal perfusion and output. Monitoring ensures timely intervention if there is a decline in output.
Choice E rationale
Inspecting the perineum for vaginal bleeding is less immediately relevant unless there is a concern for placental abruption or other obstetric complications. Focus on maternal systemic symptoms and fetal monitoring is more critical initially.
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