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?

Check blood pressure before and after giving the medication

Give the medication with grapefruit juice to enhance absorption

Hold the medication if pulse rate is below 60 beats per minute

Monitor blood glucose levels for signs of hypoglycemia

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Check blood pressure before and after giving the medication. Nifedipine is an antihypertensive medication that is used to treat gestational hypertension. It lowers blood pressure by relaxing the blood vessels and reducing the workload of the heart. Checking blood pressure before and after giving the medication helps to monitor the effectiveness and safety of the treatment.

Choice B is wrong because grapefruit juice can interact with nifedipine and increase its blood levels, which can cause excessive lowering of blood pressure or other side effects. Grapefruit juice should be avoided when taking nifedipine.

Choice C is wrong because nifedipine does not affect the pulse rate significantly. Holding the medication if pulse rate is below 60 beats per minute is more appropriate for beta-blockers, such as labetalol, which are another class of antihypertensive medications that can slow down the heart rate.

Choice D is wrong because nifedipine does not cause hypoglycemia. Monitoring blood glucose levels for signs of hypoglycemia is more relevant for medications that lower blood sugar, such as insulin or oral antidiabetic agents.

Normal ranges for blood pressure and pulse rate during pregnancy are 110-140/60-90 mmHg and 60-100 beats per minute, respectively. Normal range for blood glucose level during pregnancy is 70-110 mg/dL.

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Correct Answer is B

Explanation

The correct answer is choice B. Monitor fetal heart rate continuously.This is because hydralazine is a vasodilator that lowers blood pressure and may cause tachycardia.Tachycardia can affect the fetal heart rate and oxygenation, so continuous monitoring is essential to detect any signs of fetal distress.

Choice A is wrong because hydralazine does not cause orthostatic hypotension, but rather a reflex increase in heart rate and cardiac output.

Orthostatic hypotension is more likely to occur with other antihypertensive drugs such as alpha-blockers or diuretics.

Choice C is wrong because encouraging oral fluid intake may worsen the fluid retention and edema that are common in preeclampsia.Fluid intake should be restricted to avoid pulmonary edema and cerebral edema.

Choice D is wrong because administering oxygen via nasal cannula is not a priority intervention for a woman with severe preeclampsia who is receiving hydralazine IV.Oxygen therapy may be indicated if the woman develops signs of hypoxia, such as dyspnea, cyanosis, or low oxygen saturation.However, oxygen therapy should be used with caution as it may increase oxidative stress and placental vasoconstriction.

A. Encourage bed rest in a dark and quiet environment B. Administer corticosteroids as prescribed C. Monitor fetal heart rate and movement D. Assess for headache, visual changes and epigastric pain E. Provide a diet high in protein and low in carbohydrates

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

Explanation

The correct answer is choice A, C and D.These interventions can help prevent or delay the development of preeclampsia by reducing blood pressure, monitoring fetal well-being and assessing for signs of worsening condition.

Choice B is wrong because corticosteroids are not used to prevent preeclampsia, but to enhance fetal lung maturity in case of preterm delivery.

Choice E is wrong because a diet high in protein and low in carbohydrates is not recommended for gestational hypertension or preeclampsia.A balanced diet with adequate calcium, magnesium and antioxidants is advised.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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.).

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

Explanation

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

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

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

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

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 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?

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

(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?