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Question 1:

A nurse is providing discharge instructions to a client who had preeclampsia and delivered her baby 2 days ago.

Which of the following instructions should the nurse include?

Answer and Explanation

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Question 2:

A nurse is assessing a client who is 24 weeks pregnant and has preeclampsia.

Which of the following findings should the nurse report to the provider as a manifestation of severe preeclampsia?

Answer and Explanation

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Question 3:

A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia.

Which of the following assessments should the nurse perform to monitor for magnesium toxicity? Select all that apply.

Answer and Explanation

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Question 4:

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate.

Which assessment finding would indicate that the client is experiencing magnesium toxicity?

Answer and Explanation

A
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Question 5:

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with pre-eclampsia.

Which outcome would indicate that the therapy is successful?

Answer and Explanation

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Question 6:

A nurse is teaching a pregnant client about the risk factors for pre-eclampsia.

Which of the following should the nurse include? (Select all that apply).

Answer and Explanation

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Question 7:

A nurse is monitoring a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously.

Which of the following assessments is the most important for the nurse to perform?

Answer and Explanation

A
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Question 8:

A nurse is caring for a client with severe pre-eclampsia who is being induced with oxytocin.

The nurse notes that the client’s contractions are occurring every 2 minutes and lasting 90 seconds.

The fetal heart rate is 160 beats/minute with late decelerations.

What is the priority nursing action?

Answer and Explanation

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Question 9:

A nurse is providing discharge instructions to a client who had severe pre-eclampsia and delivered a healthy baby at 34 weeks of gestation.

Which of the following statements by the client indicates a need for further teaching?

Answer and Explanation

A
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Question 10:

A nurse is caring for a client who is receiving magnesium sulfate for severe preeclampsia.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 11:

A nurse is teaching a client who is at risk for developing preeclampsia.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 12:

A nurse is assessing a client who has severe preeclampsia and is receiving magnesium sulfate via continuous IV infusion.

Which of the following findings should alert the nurse to suspect magnesium toxicity?

Answer and Explanation

A
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Question 13:

A nurse is caring for a client who has a diagnosis of HELLP syndrome.

The nurse should monitor the client for which of the following complications? (Select all that apply.)

Answer and Explanation

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Question 14:

A nurse is providing discharge teaching to a client who had HELLP syndrome and a cesarean birth.

The nurse should instruct the client to report which of the following findings to the provider?

Answer and Explanation

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Question 15:

A nurse is providing discharge teaching to a client who had pre-eclampsia and delivered a healthy newborn.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 16:

A nurse is caring for a client who has severe pre-eclampsia and is receiving hydralazine IV.

Which of the following adverse effects should the nurse monitor for?

Answer and Explanation

A
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Question 17:

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who has eclampsia.

Which of the following outcomes indicates that the therapy is successful?

Answer and Explanation

A
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Question 18:

A nurse is assessing a client with severe pre-eclampsia who is receiving magnesium sulfate infusion.

Which finding should alert the nurse to suspect magnesium toxicity?

Answer and Explanation

A
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Question 19:

A nurse is caring for a client with eclampsia who is having a tonic-clonic seizure.

Which action should the nurse take first?

Answer and Explanation

A
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Question 20:

A nurse is providing discharge instructions to a client who had severe pre-eclampsia and delivered a healthy baby at 36 weeks of gestation.

The nurse should instruct the client to report which symptom to the provider as a possible sign of postpartum pre-eclampsia?

Answer and Explanation

A
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Question 21:

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously.

Which of the following results should the nurse notify the provider about? (Select all that apply.)

Answer and Explanation

A
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Question 22:

A nurse is planning to administer hydralazine to a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously.

Which of the following actions should the nurse take before giving the medication? (Select all that apply.)

Answer and Explanation

A
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Question 23:

A nurse is educating a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously about the possible side effects of the medication.

Which of the following statements should the nurse include in the teaching?

Answer and Explanation

A
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Question 24:

(select all that apply) A nurse is reviewing the laboratory results of a client with eclampsia who is receiving magnesium sulfate.

Which of the following values should the nurse report to the provider? (Select all that apply.)

Answer and Explanation

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Question 25:

A nurse is caring for a client with eclampsia who is receiving magnesium sulfate and has a magnesium level of 10 mg/dL.

Which of the following medications should the nurse have available as an antidote?

Answer and Explanation

A
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Question 26:

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with eclampsia.

Which of the following findings indicates a therapeutic response?

Answer and Explanation

A
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Question 27:

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate via continuous IV infusion.

Which of the following findings should the nurse identify as an indication of magnesium sulfate toxicity?

Answer and Explanation

A
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Question 28:

A nurse is caring for a client who has eclampsia and is receiving magnesium sulfate and hydralazine.

The client’s blood pressure is 150/90 mmHg, pulse is 88/min, respirations are 18/min, and oxygen saturation is 97%.

The nurse notes that the client’s deep tendon reflexes are absent.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 29:

A nurse is reviewing the electronic health record of a client who has severe preeclampsia and is being induced with oxytocin.

Which of the following findings should the nurse report to the provider immediately?

Answer and Explanation

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Question 30:

A nurse is monitoring a client with severe pre-eclampsia who is receiving magnesium sulfate infusion.

What is the antidote for magnesium sulfate toxicity?

Answer and Explanation

A
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Question 31:

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client with eclampsia.

What clinical indicator would suggest that the therapy is successful?

Answer and Explanation

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Question 32:

A nurse is caring for a client with HELLP syndrome who is receiving a blood transfusion.

What nursing interventions are appropriate for this client? Select all that apply.

Answer and Explanation

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Question 33:

A nurse is caring for a client who is at 28 weeks of gestation and has a blood pressure of 160/100 mm Hg.

The nurse should anticipate a prescription for which of the following medications?

Answer and Explanation

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Question 34:

A nurse is reviewing the discharge instructions for a client who had severe preeclampsia and delivered her baby at 34 weeks of gestation by cesarean birth.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 35:

A nurse is evaluating the fetal status of a client who has preeclampsia and is receiving magnesium sulfate.

Which of the following findings should the nurse report to the provider as a sign of fetal compromise?

Answer and Explanation

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