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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.

Choice B rationale

Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.

Choice C rationale

Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.

Choice D rationale

Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.

A. Rhythmic respirations. B. Crying. C. Lack of concentration. D. Perspiration.

Correct Answer is A

Explanation

Choice A rationale

Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.

Choice B rationale

Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.

Choice C rationale

Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.

Choice D rationale

Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has eclampsia. Which of the following changes should the nurse recognize as being associated with eclampsia?

Correct Answer is C

Explanation

A practical nurse is gathering data on how a client in labor is coping with labor. Which of the following findings demonstrates the client is coping well?

Correct Answer is A

Explanation

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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?