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

Severe headache

Vision changes such as blurring, flashing lights or spots

Chest pain or shortness of breath

Nausea or vomiting

Abdominal pain or tenderness

Answer and Explanation

Correct Answer : A,B,D,E

The correct answer is choice 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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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. Bradycardia B. Hypotension C. Hyperkalemia D. Hyperglycemia

Correct Answer is B

Explanation

Methyldopa is a drug that lowers blood pressure by reducing the activity of the sympathetic nervous system.

One of the possible side effects of methyldopa is hypotension, which means abnormally low blood pressure.Hypotension can cause dizziness, fainting, and shock.

Choice A) Bradycardia is wrong because methyldopa does not affect the heart rate directly.Bradycardia means a slow heart rate, which can be caused by other drugs or conditions.

Choice C) Hyperkalemia is wrong because methyldopa does not affect the potassium levels in the blood.Hyperkalemia means high potassium levels, which can be caused by kidney problems or other drugs.

Choice D) Hyperglycemia is wrong because methyldopa does not affect the glucose levels in the blood.Hyperglycemia means high glucose levels, which can be caused by diabetes or other conditions.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, for potassium are 3.5 to 5.0 mmol/L, and for glucose are 70 to 100 mg/dL.

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

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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

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?

Correct Answer is B

Explanation

(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?

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

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with severe preeclampsia who is in labor. Which of the following findings would indicate that the therapy is effective?

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

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 client is diagnosed with preeclampsia and is receiving magnesium sulfate IV for seizure prophylaxis. The nurse should monitor which of the following laboratory values?

A nurse is caring for a client with gestational hypertension who has been prescribed labetalol (Normodyne) to control blood pressure during pregnancy. Which of the following statements by the client indicates an understanding of the medication?

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