A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management.

Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

Tachycardia

Headache

Nausea

Hyperkalemia

Oliguria

Answer and Explanation

Correct Answer : A,B

The correct answer is choice A and B. Hydralazine is a drug that lowers blood pressure by relaxing the blood vessels. It can cause some side effects such as tachycardia (fast heart rate) and headache.

These are common and may go away during treatment.

However, if they are severe or persistent, the nurse should monitor the client and report to the doctor.

Choice C is wrong because nausea is not a common side effect of hydralazine.

It may be caused by other factors such as pregnancy or infection.

Choice D is wrong because hyperkalemia (high potassium level in the blood) is not a side effect of hydralazine.

It may be caused by other drugs such as angiotensin-converting enzyme inhibitors or potassium-sparing diuretics.

Choice E is wrong because oliguria (low urine output) is not a side effect of hydralazine.

It may be a sign of kidney damage or dehydration.

The nurse should monitor the client’s fluid intake and output and report any changes to the doctor.

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Correct Answer is B

Explanation

Methyldopa is a drug that lowers blood pressure by reducing the activity of the sympathetic nervous system.

One of the possible side effects of methyldopa is hypotension, which means abnormally low blood pressure.Hypotension can cause dizziness, fainting, and shock.

Choice A) Bradycardia is wrong because methyldopa does not affect the heart rate directly.Bradycardia means a slow heart rate, which can be caused by other drugs or conditions.

Choice C) Hyperkalemia is wrong because methyldopa does not affect the potassium levels in the blood.Hyperkalemia means high potassium levels, which can be caused by kidney problems or other drugs.

Choice D) Hyperglycemia is wrong because methyldopa does not affect the glucose levels in the blood.Hyperglycemia means high glucose levels, which can be caused by diabetes or other conditions.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, for potassium are 3.5 to 5.0 mmol/L, and for glucose are 70 to 100 mg/dL.

A. Severe headache B. Vision changes such as blurring, flashing lights or spots C. Chest pain or shortness of breath D. Nausea or vomiting E. Abdominal pain or tenderness

Correct Answer is ["A","B","D","E"]

Explanation

The correct answer ischoice A, B, D and E.These are all signs and symptoms that may indicate worsening condition or preeclampsia in a client with gestational hypertension.Preeclampsia is a complication of pregnancy that is marked by high blood pressure and presence of proteins in urine.

Choice C is wrong because chest pain or shortness of breath are not typical symptoms of preeclampsia, but they may indicate other serious conditions such as heart problems or pulmonary edema.

If a client with gestational hypertension experiences these symptoms, they should seek immediate medical attention.

Normal ranges for blood pressure and proteinuria are:

• Blood pressure: less than 140/90 mm Hg.

• Proteinuria: less than 300 mg in a 24-hour urine collection or less than 30 mg/dL in a random urine sample.

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A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management. Which of the following adverse effects should the nurse monitor for? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with gestational hypertension who has been prescribed methyldopa (Aldomet) to control blood pressure during pregnancy. Which of the following side effects should the nurse monitor for?

Correct Answer is B

Explanation

Which of the following signs and symptoms may indicate worsening condition or preeclampsia in a client with gestational hypertension?

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is preparing to administer an IV loading dose of magnesium sulfate to a client who has preeclampsia with severe features. Which of the following actions should the nurse take?

A nurse is reviewing the risk factors for gestational hypertension with a group of pregnant clients at a prenatal clinic. Which of the following factors should the nurse include? (Select all that apply.).

Which of the following factors increases a woman’s risk for developing gestational hypertension.

Which of the following is a sign or symptom of gestational hypertension?

A nurse is reviewing the laboratory results of a client with gestational hypertension who has been diagnosed with HELLP syndrome. Which of the following findings would the nurse expect to see?

A nurse is caring for a client with gestational hypertension who has been prescribed magnesium sulfate to prevent seizures related to preeclampsia. Which of the following assessments should the nurse prioritize?

A nurse is administering nifedipine to a client with gestational hypertension as prescribed by the provider. Which of the following actions would the nurse take to ensure safe administration of this medication?

Which of the following findings would indicate that a client with preeclampsia is experiencing HELLP syndrome?

A nurse is caring for a client who has severe preeclampsia and is receiving hydralazine IV bolus for blood pressure management.

Which of the following adverse effects should the nurse monitor for? (Select all that apply.)