A nurse is caring for a client at 37 weeks gestation with new reports of headache, edema of the face and right upper quadrant abdominal pain.
Which of the following diagnostic tests would the nurse anticipate the provider ordering?
CBC, CMP, Urinalysis, Clotting studies.
HgA1C.
Abdominal ultrasound.
CBC, Amylase, Lipase, Bile acids.
The Correct Answer is A
Choice A rationale
CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), Urinalysis, and Clotting studies are crucial tests in this scenario. Headache, edema of the face, and right upper quadrant abdominal pain in a pregnant client at 37 weeks gestation are concerning for preeclampsia or HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count). CBC can help detect hemolysis and thrombocytopenia, CMP can evaluate liver function, Urinalysis can check for proteinuria indicative of preeclampsia, and Clotting studies assess coagulation status, which is vital for detecting any disseminated intravascular coagulation (DIC) complications.
Choice B rationale
HgA1C is a test used to monitor long-term glucose control in clients with diabetes. Although it provides valuable information regarding glucose levels over the past 2-3 months, it is not relevant in the immediate assessment of acute symptoms like headache, edema, and abdominal pain in the context of preeclampsia or HELLP syndrome.
Choice C rationale
Abdominal ultrasound can be used to assess fetal well-being and placental function, but it does not directly address the immediate concerns associated with preeclampsia or HELLP syndrome. It can be a supportive diagnostic tool but not the primary assessment in this acute scenario.
Choice D rationale
CBC, Amylase, Lipase, and Bile acids are tests typically used to evaluate for pancreatitis or liver disease. While CBC is relevant, the inclusion of Amylase, Lipase, and Bile acids does not directly correlate with the specific symptoms of headache, edema, and right upper quadrant pain associated with preeclampsia or HELLP syndrome. Thus, this combination is not the most appropriate set of diagnostic tests for the client's condition. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Methotrexate is used for treating ectopic pregnancies and certain cancers, but it is not an antidote for Magnesium Sulfate toxicity.
Choice B rationale
Labetalol is a beta-blocker used for hypertension management in pregnancy, not for reversing Magnesium Sulfate toxicity.
Choice C rationale
Nifedipine is a calcium channel blocker used to manage high blood pressure and preterm labor, not for counteracting Magnesium Sulfate toxicity.
Choice D rationale
Calcium gluconate is the specific antidote for Magnesium Sulfate toxicity, effectively reversing its effects.
Correct Answer is D
Explanation
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
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