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?

Administer the medication over 30 min using an infusion pump

Place the client in a supine position with a wedge under the right hip

Monitor the client’s blood pressure every 15 min during the infusion

Have calcium gluconate available at the bedside as an antidote.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Have calcium gluconate available at the bedside as an antidote. Magnesium sulfate is used to prevent and treat seizures in women with severe preeclampsia or eclampsia. However, it can also cause toxicity and respiratory depression if the serum level is too high. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available at the bedside.

Choice A is wrong because the medication should be administered over 20-30 minutes using an infusion pump.

A shorter infusion time may increase the risk of adverse effects.

Choice B is wrong because the client should be placed in a lateral position to improve uteroplacental perfusion and reduce the risk of aspiration.

Choice C is wrong because the client’s blood pressure should be monitored every 5 minutes during the infusion, not every 15 minutes.

Blood pressure is an indicator of the severity of preeclampsia and the effectiveness of magnesium sulfate therapy.

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Correct Answer is D

Explanation

The correct answer is choice D. All of the above.All of these factors increase a woman’s risk for developing gestational hypertension.

Choice A is wrong because nulliparity (having no previous pregnancies) is a risk factor for gestational hypertension.Rates in nulliparous women range from 6% to 17% while rates in multiparous women range from 2% to 4%.

Choice B is wrong because age younger than 20 years is a risk factor for gestational hypertension.Pregnant women more than 40 years or less than 18 years are at risk of gestational hypertension.

Choice C is wrong because history of chronic renal disease is a risk factor for gestational hypertension.High blood pressure can also cause problems during and after delivery, such as preeclampsia, eclampsia, stroke, and placental abruption.

Gestational hypertension is blood pressure greater than or equal to 140/90 that begins during the latter half of pregnancy (typically after 20 weeks) and goes away after childbirth.It can put the mother and her baby at risk for problems during the pregnancy, such as preterm delivery and low birth weight.

A. Hemoglobin 12 g/dL, platelets 150,000/mm3, AST 20 U/L, ALT 18 U/L B. Hemoglobin 10 g/dL, platelets 100,000/mm3, AST 40 U/L, ALT 35 U/L C. Hemoglobin 8 g/dL, platelets 50,000/mm3, AST 80 U/L, ALT 70 U/L D. Hemoglobin 6 g/dL, platelets 25,000/mm3, AST 120 U/L, ALT 100 U/L

Correct Answer is D

Explanation

The correct answer is choice D. Hemoglobin 6 g/dL, platelets 25,000/mm3, AST 120 U/L, ALT 100 U/L.

This is because HELLP syndrome is a pregnancy complication that causes hemolysis (breaking down of red blood cells), elevated liver enzymes (indicating liver injury), and low platelet count (impairing blood clotting).

Choice A is wrong because hemoglobin 12 g/dL, platelets 150,000/mm3, AST 20 U/L, ALT 18 U/L are all within normal ranges and do not indicate HELLP syndrome.

Choice B is wrong because hemoglobin 10 g/dL, platelets 100,000/mm3, AST 40 U/L, ALT 35 U/L are mildly abnormal and may suggest mild preeclampsia but not HELLP syndrome.

Choice C is wrong because hemoglobin 8 g/dL, platelets 50,000/mm3, AST 80 U/L, ALT 70 U/L are moderately abnormal and may suggest moderate preeclampsia or incomplete HELLP syndrome but not full HELLP syndrome.

Normal ranges for these laboratory tests are:

• Hemoglobin: 11.5 to 16.5 g/dL for women.

• Platelets: 150,000 to 450,000/mm3 for adults.

• AST: 10 to 40 U/L for adults.

• ALT: 7 to 56 U/L for adults.

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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?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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.)

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

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?

Which of the following interventions should be included in the plan of care for a client with severe preeclampsia? (Select all that apply.)

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

What is the most common cause of death in women with eclampsia.

What is a priority nursing intervention for a woman with severe preeclampsia who is receiving hydralazine IV.

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?