Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

Elevated serum creatinine levels

Elevated serum uric acid levels

Elevated serum bilirubin levels

Elevated serum glucose levels

Answer and Explanation

The Correct Answer is C

The correct answer is choice C) Elevated serum bilirubin levels. This is because bilirubin is a product of hemolysis (the breakdown of red blood cells), which is one of the components of HELLP syndrome. Elevated serum bilirubin levels indicate that there is excessive hemolysis occurring in the body, which can lead to jaundice and liver damage.

Choice A) Elevated serum creatinine levels is wrong because creatinine is a marker of kidney function, not liver function or hemolysis. While kidney failure can occur as a complication of HELLP syndrome, it is not a diagnostic criterion.

Choice B) Elevated serum uric acid levels is wrong because uric acid is also a marker of kidney function, not liver function or hemolysis. Uric acid levels can be elevated in preeclampsia, but not specifically in HELLP syndrome.

Choice D) Elevated serum glucose levels is wrong because glucose is not related to liver function or hemolysis. Glucose levels can be elevated in gestational diabetes, but not in HELLP syndrome.

Normal ranges for these tests are:

• Serum bilirubin: 0.3 to 1.2 mg/dL

• Serum creatinine: 0.6 to 1.1 mg/dL

• Serum uric acid: 2.4 to 6.0 mg/dL

• Serum glucose: 70 to 100 mg/dL

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Correct Answer is ["A","B","C","D"]

Explanation

The correct answer is choices A, B, C and D.These are all interventions that can help lower blood pressure, prevent seizures, and monitor the health of the mother and the baby in severe preeclampsia.

Choice E is wrong because continuous fetal heart rate monitoring is not necessary for severe preeclampsia unless there are signs of fetal distress or labor.Intermittent auscultation or nonstress test can be used instead to assess fetal well-being.

Normal ranges for blood pressure are below 140/90 mmHg, for urine output are 30 mL/hour or more, for platelet count are 150,000 to 450,000 per microliter, and for liver enzymes are 7 to 56 units per liter for AST and 0 to 35 units per liter for ALT.Magnesium sulfate levels should be maintained between 4 to 7 mg/dL to prevent toxicity.Fetal heart rate should be between 110 to 160 beats per minute.

A. Severe headache B. Vision changes such as blurring, flashing lights or spots C. Chest pain or shortness of breath D. Nausea or vomiting E. Abdominal pain or tenderness

Correct Answer is ["A","B","D","E"]

Explanation

The correct answer ischoice A, B, D and E.These are all signs and symptoms that may indicate worsening condition or preeclampsia in a client with gestational hypertension.Preeclampsia is a complication of pregnancy that is marked by high blood pressure and presence of proteins in urine.

Choice C is wrong because chest pain or shortness of breath are not typical symptoms of preeclampsia, but they may indicate other serious conditions such as heart problems or pulmonary edema.

If a client with gestational hypertension experiences these symptoms, they should seek immediate medical attention.

Normal ranges for blood pressure and proteinuria are:

• Blood pressure: less than 140/90 mm Hg.

• Proteinuria: less than 300 mg in a 24-hour urine collection or less than 30 mg/dL in a random urine sample.

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Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

Correct Answer is ["A","B","D","E"]

Explanation

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

Which of the following factors increases a woman’s risk for developing gestational hypertension.

A nurse is reviewing laboratory results for a client who has HELLP syndrome. Which of the following findings should the nurse expect? (Select all that apply.)

(Select all that apply). A nurse is providing discharge teaching to a client with gestational hypertension who delivered a healthy baby two days ago. Which of the following statements by the client would indicate a need for further teaching?

A nurse is administering nifedipine to a client with gestational hypertension as prescribed by the provider. Which of the following actions would the nurse take to ensure safe administration of this medication?

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?