A nurse is preparing to administer magnesium sulfate to a client with HELLP syndrome.

Which of the following actions should the nurse take? (Select all that apply.)

Monitor the client’s deep tendon reflexes

Check the client’s urine output every hour

Administer calcium gluconate as an antidote if needed

Keep a bag of 0.9% sodium chloride solution at the bedside

Flush the IV line with heparin before and after infusion

Answer and Explanation

Correct Answer : A,B,C,D

The correct answer is choice A, B, C and D. Here is why:

• Choice A is correct because monitoring the client’s deep tendon reflexes is a way to assess the client’s neuromuscular status and the risk of magnesium toxicity. Magnesium sulfate can cause muscle weakness and decreased reflexes.

• Choice B is correct because checking the client’s urine output every hour is a way to monitor the client’s renal function and fluid balance. Magnesium sulfate is excreted by the kidneys and can cause oliguria and fluid overload.

• Choice C is correct because administering calcium gluconate as an antidote if needed is a way to treat magnesium toxicity. Calcium gluconate reverses the effects of magnesium sulfate on the neuromuscular and cardiovascular systems.

• Choice D is correct because keeping a bag of 0.9% sodium chloride solution at the bedside is a way to prepare for possible complications of magnesium sulfate therapy such as hypotension, pulmonary edema, or cardiac arrest. Normal saline can help restore blood pressure and fluid balance.

• Choice E is wrong because flushing the IV line with heparin before and after infusion is not necessary or recommended for magnesium sulfate administration. Heparin is an anticoagulant that can increase the risk of bleeding and is not compatible with magnesium sulfate.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Hepatic rupture.The client with HELLP syndrome is experiencing severe epigastric pain and nausea due to liver damage caused by hemolysis, elevated liver enzymes and low platelets.Hepatic rupture is a life-threatening complication of HELLP syndrome that can cause bleeding and shock.

Choice B.Pancreatitis is wrong because it is not a common complication of HELLP syndrome and it usually causes more diffuse abdominal pain rather than localized epigastric pain.

Choice C.Gastric ulcer is wrong because it is not associated with HELLP syndrome and it does not explain the other symptoms such as hemolysis, elevated liver enzymes and low platelets.

Choice D.Cholecystitis is wrong because it is not related to HELLP syndrome and it usually causes right upper quadrant pain rather than epigastric pain.

Normal ranges for liver enzymes are AST < 40 IU/L and ALT < 56 IU/L.Normal range for platelet count is 150-400 x 10⁹/L.

A. Blood glucose B. Serum creatinine C. Coagulation profile D. Thyroid function

Correct Answer is C

Explanation

Coagulation profile.This is because HELLP syndrome is a pregnancy complication that involveshemolysis(breaking down of red blood cells),elevated liver enzymes(indicating liver injury) andlow platelet count(impairing blood clotting).A coagulation profile can help monitor these abnormalities and assess the risk of bleeding or clotting complications.

Choice A is wrong because blood glucose is not directly affected by HELLP syndrome, although it may be elevated in women with gestational diabetes or pre-existing diabetes.

Choice B is wrong because serum creatinine is a marker of kidney function, not liver function.However, kidney function may also be impaired in women with preeclampsia or eclampsia, which are associated with HELLP syndrome.

Choice D is wrong because thyroid function is not related to HELLP syndrome.Thyroid disorders may occur in pregnancy, but they have different symptoms and causes.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to administer magnesium sulfate to a client with HELLP syndrome. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with HELLP syndrome reports severe epigastric pain and nausea. The nurse should suspect that the client is experiencing:

Correct Answer is A

Explanation

A nurse is caring for a client with HELLP syndrome. Which of the following laboratory tests should the nurse monitor closely?

Correct Answer is C

Explanation

A nurse is preparing to administer magnesium sulfate to a client with HELLP syndrome. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is reviewing the discharge instructions for a client who had HELLP syndrome during pregnancy. Which of the following statements by the client indicates a need for further teaching?

A nurse is providing education to a pregnant client who is at risk for developing HELLP syndrome. Which of the following information should the nurse include?

A nurse is preparing to administer magnesium sulfate to a client with HELLP syndrome.

Which of the following actions should the nurse take? (Select all that apply.)