A nurse is preparing to administer antihypertensive therapy to a client with severe pre-eclampsia.

Which of the following blood pressure readings is the target goal for this client?

<140/90 mmHg

<150/100 mmHg

<160/110 mmHg

<170/120 mmHg

Answer and Explanation

The Correct Answer is C

The target blood pressure goal for a client with severe pre-eclampsia is less than 160/110 mmHg.

This is because lowering the blood pressure too much or too fast can compromise the placental perfusion and fetal oxygenation.

Choice A is wrong because it is the target blood pressure goal for a client with chronic hypertension or gestational hypertension without severe features.

Choice B is wrong because it is the target blood pressure goal for a client with mild pre-eclampsia.

Choice D is wrong because it is too high and can increase the risk of maternal and fetal complications such as stroke, eclampsia, placental abruption, and fetal growth restriction.

Normal blood pressure ranges are less than 120/80 mmHg for systolic and diastolic pressures respectively.

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Correct Answer is B

Explanation

Elevated serum lactate dehydrogenase (LDH) indicates hemolysis, which is one of the components of HELLP syndrome.Hemolysis is the destruction of red blood cells that occurs when they pass through damaged blood vessels.

Choice A is wrong because elevated serum creatinine indicates kidney dysfunction, which is not specific for hemolysis.

Choice C is wrong because elevated serum alkaline phosphatase (ALP) indicates liver damage, which is another component of HELLP syndrome, but not specific for hemolysis.

Choice D is wrong because elevated serum uric acid indicates increased purine metabolism, which can be associated with preeclampsia and HELLP syndrome, but not specific for hemolysis.

A. “This medication will help lower my blood pressure.” B. “This medication will help prevent seizures.” C. “This medication will help my baby’s lungs develop faster.” D. “This medication will help reduce inflammation in my body.”

Correct Answer is C

Explanation

“This medication will help my baby’s lungs develop faster.” Corticosteroid therapy is given to pregnant clients with eclampsia to accelerate fetal lung maturity and reduce the risk of respiratory distress syndrome in the newborn.

Some possible explanations for the other choices are:

• Choice A is wrong because corticosteroids do not lower blood pressure.Antihypertensive drugs such as hydralazine or labetalol are used to treat hypertension in eclampsia.

• Choice B is wrong because corticosteroids do not prevent seizures.Magnesium sulfate is the drug of choice for seizure prophylaxis and treatment in eclampsia.

• Choice D is wrong because corticosteroids do not reduce inflammation in the body.They may have anti-inflammatory effects in some conditions, but their main purpose in eclampsia is to enhance fetal lung development.

Normal ranges for blood pressure and proteinuria in pregnancy are:

• Blood pressure: less than 140/90 mm Hg

• Proteinuria: less than 300 mg/24 hours or less than 1+ on dipstick

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A nurse is preparing to administer antihypertensive therapy to a client with severe pre-eclampsia. Which of the following blood pressure readings is the target goal for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client with HELLP syndrome. Which of the following findings would indicate hemolysis?

Correct Answer is B

Explanation

A nurse is teaching a client with eclampsia about the purpose of corticosteroid therapy. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assessing a client who has eclampsia and is receiving magnesium sulfate IV. Which of the following findings should alert the nurse to suspect magnesium toxicity?

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously. What is the primary reason for administering magnesium sulfate to this client?

A nurse is preparing to administer magnesium sulfate IV to a client who has severe pre-eclampsia. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is assessing the fetal heart rate and uterine activity of a client with severe pre-eclampsia who is receiving magnesium sulfate intravenously. Which of the following findings should the nurse report to the provider immediately?

A nurse is assessing a client with eclampsia who is having a seizure. Which of the following actions should the nurse take first?

(select all that apply) A nurse is planning care for a client with eclampsia who is scheduled for delivery as soon as possible. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

A nurse is preparing to administer antihypertensive therapy to a client with severe pre-eclampsia. Which of the following blood pressure readings is the target goal for this client?

A nurse is caring for a client with eclampsia who is receiving magnesium sulfate intravenously. Which of the following findings indicates magnesium toxicity?

A nurse is preparing to administer antihypertensive therapy to a client with severe pre-eclampsia.

Which of the following blood pressure readings is the target goal for this client?