A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg.

What is the expected outcome of this medication?

To prevent seizures

To lower blood pressure

To increase urine output

To improve placental perfusion

Answer and Explanation

The Correct Answer is B

To lower blood pressure. Hydralazine is an antihypertensive drug that is used to treat severe hypertension in pre-eclampsia. It works by relaxing the blood vessels and reducing the resistance to blood flow.

This helps to lower the blood pressure and prevent complications such as stroke, kidney damage, or placental abruption.

Choice A is wrong because hydralazine does not prevent seizures.

Seizures are a symptom of eclampsia, a more severe form of pre-eclampsia. To prevent seizures, magnesium sulfate is usually given intravenously.

Choice C is wrong because hydralazine does not increase urine output. In fact, it may cause fluid retention and edema as a side effect. Diuretics are drugs that increase urine output, but they are not recommended for pre-eclampsia because they may worsen the condition by reducing blood volume and placental perfusion.

Choice D is wrong because hydralazine does not improve placental perfusion.

Placental perfusion is the blood flow to the placenta, which provides oxygen and nutrients to the fetus.

Placental perfusion may be impaired in pre-eclampsia due to abnormal development of the placental blood vessels. Hydralazine does not affect the placental blood vessels directly, but it may improve placental perfusion indirectly by lowering the maternal blood pressure and reducing the risk of abruption.

However, this is not the primary or expected outcome of hydralazine therapy.

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Correct Answer is A

Explanation

This indicates a therapeutic level of magnesium sulfate for a client with severe pre-eclampsia who is receiving magnesium sulfate.According to some sources, the effective therapeutic serum magnesium level is 1.8–3.0 mmol/L, which corresponds to 4.2–7 mg/dL or 3.5–7 mEq/L.

Magnesium sulfate: past, present, and future. | Semantic Scholar

Choice B is wrong because serum calcium level of 8.5 mg/dL is within the normal range and does not indicate the effect of magnesium sulfate.

Choice C is wrong because serum creatinine level of 1.2 mg/dL is within the normal range and does not indicate the effect of magnesium sulfate.

Choice D is wrong because serum potassium level of 3.5 mEq/L is at the lower end of the normal range and does not indicate the effect of magnesium sulfate.

A. Platelet count of 150,000/mm3 B. Serum creatinine of 1.2 mg/dL C. Proteinuria of 1+ on dipstick D. Serum albumin of 3.5 g/dL

Correct Answer is B

Explanation

Serum creatinine of 1.2 mg/dL.This indicates a need for further evaluation because it is above the normal range of 0.6 to 1.1 mg/dL for women and suggests kidney impairment.Preeclampsia can affect the kidneys and other organs.

Choice A is wrong because a platelet count of 150,000/mm3 is within the normal range of 150,000 to 450,000/mm3.

Choice C is wrong because proteinuria of 1+ on dipstick is expected in mild preeclampsia.

Choice D is wrong because serum albumin of 3.5 g/dL is within the normal range of 3.4 to 5.4 g/dL.

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A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg. What is the expected outcome of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia who is receiving magnesium sulfate. Which finding would indicate a therapeutic level of magnesium sulfate?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

Correct Answer is B

Explanation

A nurse is assessing a client with severe pre-eclampsia who reports a severe headache and blurred vision. The nurse notes that the client has hyperreflexia with clonus. What is the most likely explanation for these findings?

A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby. Which statement by the client indicates a need for further teaching?

A nurse is providing discharge teaching to a client who had preeclampsia and delivered a healthy baby at 38 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia. Which of the following findings should the nurse report to the provider immediately?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate infusion. Which of the following assessments is most important for the nurse to monitor?

A nurse is assessing a client with pre-eclampsia who is receiving oxytocin for labor induction. Which finding would alert the nurse to suspect that the client is developing HELLP syndrome?

A client who is 36 weeks pregnant is admitted to the hospital with a diagnosis of eclampsia. She has a history of chronic hypertension and gestational diabetes. The nurse anticipates that the client will receive which of the following medications to prevent seizures?

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg.

What is the expected outcome of this medication?