A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Urine culture

Rapid plasma reagin

Prothrombin time

Urine ketones

Answer and Explanation

The Correct Answer is D

The nurse should anticipate a urine ketones test for a client who has hyperemesis gravidarum. This test is used to monitor the client's ketone levels, which can increase as a result of excessive vomiting and nausea that can cause dehydration and malnutrition. The other tests mentioned are not typically associated with hyperemesis gravidarum.

Nursing Test Bank

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Correct Answer is D

Explanation

Magnesium sulfate is a medication commonly used to treat preeclampsia, a pregnancy-related condition characterized by high blood pressure and damage to other organ systems, such as the kidneys. However, magnesium sulfate can also cause adverse reactions, and the nurse should be aware of these reactions.

The nurse should recognize that a urine output of 20 mL/hr is a manifestation of an adverse reaction to magnesium sulfate, as magnesium sulfate can cause decreased urine output, which can lead to dehydration and electrolyte imbalances. The nurse should promptly report this finding to the provider, as it may require immediate intervention.

Option A is incorrect because hypertension is a symptom of preeclampsia, not an adverse reaction to magnesium sulfate.

Option B is also incorrect because hyperglycemia is not an adverse reaction to magnesium sulfate.

Option C is also incorrect because a respiratory rate of 16/min is within the normal range.

A. "You cannot have an amniocentesis until you are at least 35 years of age." B. "We can schedule the procedure for later today if you'd like." C. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." D. “This procedure determines if your baby has genetic or congenital disorders.”

Correct Answer is D

Explanation

The nurse should inform the client that an amniocentesis is a diagnostic test used to identify genetic or congenital disorders and is not performed solely to determine the sex of the fetus. Therefore, the appropriate response by the nurse would be, "This procedure determines if your baby has genetic or congenital disorders."

Amniocentesis is an invasive procedure that carries a small risk of miscarriage, and it is typically offered to women who are at increased risk of having a baby with a genetic or chromosomal disorder. It is not routinely performed solely for the purpose of determining the sex of the fetus. Therefore, the nurse should educate the client about the purpose and risks of the procedure before the client decides to proceed with the test.

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A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Correct Answer is D

Explanation

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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