A nurse is assisting in the care of a client who has preeclampsia with severe features and is reporting blurred vision and the inability to think clearly.
Which of the following factors should the nurse recognize as the primary cause of the client's clinical manifestations?
Platelet aggregation.
Autoregulation dysfunction of the cerebral vasculature.
Oxidative stress inflammatory response.
Uteroplacental ischemia.
The Correct Answer is B
Choice A rationale
Platelet aggregation is associated with the formation of blood clots, which may contribute to complications like stroke but is not the primary cause of the client's symptoms of blurred vision and cognitive impairment in preeclampsia.
Choice B rationale
Autoregulation dysfunction of the cerebral vasculature causes increased cerebral blood flow and edema, leading to neurological symptoms such as blurred vision and impaired cognitive function. This dysfunction is a primary factor in the pathophysiology of preeclampsia with severe features.
Choice C rationale
Oxidative stress and inflammatory response contribute to endothelial dysfunction in preeclampsia but are not directly responsible for the neurological symptoms described. These factors play a broader role in the progression of the disease.
Choice D rationale
Uteroplacental ischemia affects the placenta and fetal environment, contributing to fetal growth restriction and distress but does not directly cause neurological symptoms like blurred vision in the mother.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While ibuprofen can reduce general inflammation, its primary use in the postpartum period is not aimed at reducing swelling in the extremities, making this a less relevant outcome for the medication's effectiveness.
Choice B rationale
Ibuprofen is an effective analgesic for reducing discomfort from uterine contractions, known as afterpains, which occur as the uterus involutes post-delivery. A decrease in this type of discomfort indicates the medication has achieved its desired effect.
Choice C rationale
Ibuprofen does not have an effect on milk production; therefore, a decrease in milk production is not an expected or desired outcome of administering this medication to a postpartum client.
Choice D rationale
Ibuprofen is not intended to reduce lochia or the passage of clots. These are normal postpartum processes, and their reduction would not be an expected outcome of ibuprofen administration.
Correct Answer is B
Explanation
Choice A rationale
Feeding the newborn water during the procedure is incorrect because water does not provide effective pain relief during procedures.
Choice B rationale
Placing the newborn's arms and legs in flexion and close to the midline of the torso is correct as this position, known as facilitated tucking, provides comfort and can help reduce pain.
Choice C rationale
Placing the newborn supine during the procedure is incorrect because it does not provide any specific pain relief benefits.
Choice D rationale
Elevating the newborn's head during the procedure is not specifically related to pain relief but is more about positioning for ease of access. .
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