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A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

Complete blood count (CBC).

Aspartate aminotransferase (AST) and alanine transaminase (ALT).

Serum creatinine.

Fetal ultrasound.

Contraction stress test.

Amniocentesis.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

CBC will detect abnormalities such as anemia or infection, which may correlate with preeclampsia or HELLP syndrome.

Choice B rationale

Elevated AST and ALT levels indicate liver damage, a potential sign of severe preeclampsia or HELLP syndrome.

Choice C rationale

Serum creatinine helps assess kidney function, as preeclampsia can impair renal perfusion leading to elevated levels.

Choice D rationale

Fetal ultrasound assesses fetal growth, amniotic fluid volume, and placental function, critical in monitoring preeclampsia.

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Correct Answer is ["95"]

Explanation

Step 1 is (380 mL ÷ 4 hours) = 95 mL/hour.

Final answer is 95 mL/hour.

A. Severe nausea and vomiting. B. Bradycardia. C. Referred shoulder pain. D. Heavy vaginal bleeding.

Correct Answer is C

Explanation

Choice A rationale

Severe nausea and vomiting are not specific symptoms of a ruptured ectopic pregnancy but may occur due to other unrelated conditions.

Choice B rationale

Bradycardia is not characteristic of a ruptured ectopic pregnancy but could indicate other cardiovascular issues or conditions.

Choice C rationale

Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding, indicating potential rupture.

Choice D rationale

Heavy vaginal bleeding can occur in various conditions but is not as specific to ruptured ectopic pregnancy as referred shoulder pain indicating internal bleeding.

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A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

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Naxlex Comprehensive Predictor Exams

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

Correct Answer is ["95"]

Explanation

A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?

Correct Answer is C

Explanation

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