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. .
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Given the symptoms and physical examination findings, the nurse should anticipate a provider prescription for Acyclovir as evidenced by the presence of vesicles and pustules.
The case presented shows several key indicators that point toward a diagnosis of genital herpes, which is caused by the herpes simplex virus (HSV).
- Presence of vesicles and pustules: The small, pinpoint open vesicles and pustules on the labia majora, along with clear drainage, are classic signs of genital herpes.
- Erythema and tenderness: The redness (erythema) and tenderness of the perineal area further support this diagnosis.
- Systemic symptoms: The client reports muscle aches and chills, which are common systemic symptoms of a viral infection like herpes.
- Denies dysuria and other severe symptoms: The absence of symptoms like dysuria and acute distress is consistent with the presentation of genital herpes during the vesicle stage.
Acyclovir is an antiviral medication commonly prescribed for the treatment of herpes simplex infections. It helps to reduce the severity and duration of symptoms. Hence, the nurse should anticipate a prescription for Acyclovir based on the clinical presentation and findings.
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