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

Administer antihypertensive medications as prescribed

Monitor urine output hourly

Encourage bed rest in a quiet environment

Administer magnesium sulfate as prescribed

Monitor fetal heart rate continuously

Answer and Explanation

Correct Answer : A,B,C,D

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.

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

Explanation

The correct answer is choice B, D and E. These are signs and symptoms of preeclampsia, a serious complication of gestational hypertension that can affect the mother and the baby.Preeclampsia is marked by high blood pressure and protein in urine or other signs of organ damage.

Choice A is wrong because swelling of the face, hands or feet is a common symptom of pregnancy and does not necessarily indicate preeclampsia.However, sudden or severe swelling can be a warning sign and should be checked by a healthcare provider.

Choice C is wrong because severe headache is a symptom of preeclampsia, not gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and does not have protein in urine or other signs of organ damage.

Some normal ranges for blood pressure during pregnancy are:

• Systolic (top number): less than 140 mm Hg

• Diastolic (bottom number): less than 90 mm Hg

Some normal ranges for protein in urine during pregnancy are:

• Less than 300 mg per 24 hours

• Less than 0.3 g per liter

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

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Naxlex Comprehensive Predictor Exams

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

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

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

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

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

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.)

What is the most common cause of death in women with eclampsia.

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

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 with gestational hypertension who is at risk for developing preeclampsia. Which of the following interventions should the nurse implement to prevent this complication? (Select all that apply.).