A nurse is planning care for a client with HELLP syndrome who has signs of severe anemia, coagulopathy, and bleeding.

Which of the following interventions should the nurse anticipate?

Transfusion of packed red blood cells, fresh frozen plasma, or platelets

Administration of erythropoietin, vitamin K, or fibrinogen

Administration of iron supplements, heparin, or tranexamic acid

Transfusion of whole blood, cryoprecipitate, or albumin

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

Loss of reflexes.This is because magnesium toxicity can cause neuromuscular blockade and respiratory depression, which can be reversed by calcium gluconate as an antidote.

Choice B.Brisk tendon reflexes is wrong because magnesium toxicity usually causes diminished or absent reflexes.

Choice C.Hypertension is wrong because magnesium toxicity usually causes hypotension.

Choice D. Proteinuria is wrong because magnesium toxicity does not affect urine protein levels.Proteinuria is a sign of preeclampsia, not magnesium toxicity.

A. Nonstress test B. Biophysical profile C. Amniocentesis D. Umbilical artery doppler

Correct Answer is B

Explanation

A biophysical profile is a test that combines a nonstress test with an ultrasound to assess the fetal well-being and oxygenation.A biophysical profile evaluates five parameters: fetal breathing movements, fetal body movements, fetal tone, amniotic fluid volume, and fetal heart rate reactivity.

Each parameter is scored 0 or 2, and the total score ranges from 0 to 10.A score of 8 to 10 is considered normal, indicating adequate oxygenation and low risk of asphyxia.

Choice A is wrong because a nonstress test is a test that measures the fetal heart rate response to fetal movements.It does not assess the fetal growth or oxygenation directly.

Choice C is wrong because an amniocentesis is a test that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for genetic or biochemical analysis.It does not assess the fetal growth or oxygenation directly.

Choice D is wrong because an umbilical artery doppler is a test that uses ultrasound to measure the blood flow in the umbilical artery.

It can detect placental insufficiency or fetal growth restriction.

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A nurse is planning care for a client with HELLP syndrome who has signs of severe anemia, coagulopathy, and bleeding. Which of the following interventions should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client with HELLP syndrome for signs of magnesium toxicity. Which of the following assessments would indicate the need for calcium gluconate as an antidote?

Correct Answer is A

Explanation

A nurse is monitoring the fetal well-being of a client with mild pre-eclampsia who is at 28 weeks of gestation. Which test should the nurse perform at least every two weeks to assess the fetal growth and oxygenation?

Correct Answer is B

Explanation

A nurse is preparing to administer corticosteroids to a client with HELLP syndrome who is 32 weeks pregnant. What is the rationale for this intervention?

A nurse is teaching a client with mild pre-eclampsia about dietary modifications. Which statement by the client indicates a need for further teaching?

A nurse is reviewing the laboratory results of a client with mild pre-eclampsia who is at 30 weeks of gestation. Which finding should the nurse report to the provider immediately?

A nurse is caring for a client with mild pre-eclampsia who is at 32 weeks of gestation. The nurse should anticipate administering which medication to the client?

A nurse is planning care for a client with HELLP syndrome who has signs of severe anemia, coagulopathy, and bleeding. Which of the following interventions should the nurse anticipate?

A nurse is preparing to administer antihypertensive medication to a client with mild pre-eclampsia who is at 34 weeks of gestation. The nurse should avoid giving which medication to the client?

A nurse is planning care for a client with HELLP syndrome who has signs of severe anemia, coagulopathy, and bleeding.

Which of the following interventions should the nurse anticipate?