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?

Report any headache that is not relieved by acetaminophen

Expect some vaginal bleeding for up to 6 weeks postpartum

Resume sexual activity as soon as you feel comfortable

Drink at least 3 liters of fluid per day to prevent dehydration

Answer and Explanation

The Correct Answer is A

Report any headache that is not relieved by acetaminophen. This is because a headache that persists despite taking pain medication can be a sign of increased blood pressure or brain swelling, which are serious complications of preeclampsia.

Choice B is wrong because some vaginal bleeding for up to 6 weeks postpartum is normal and expected for any woman who has given birth, regardless of whether she had preeclampsia or not.

Choice C is wrong because resuming sexual activity as soon as you feel comfortable is also a normal recommendation for any woman who has given birth, unless there are other medical reasons to avoid it.

Choice D is wrong because drinking at least 3 liters of fluid per day to prevent dehydration is not necessary for a woman who had preeclampsia. In fact, drinking too much fluid can worsen the swelling and fluid retention that are common in preeclampsia.

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Correct Answer is ["B","C","D"]

Explanation

The correct answer is choice B, C and D. These results indicate hepatic involvement because they are elevated above the normal ranges.According to, the normal ranges for AST, ALT and LDH are:

• AST: 8 to 48 U/L

• ALT: 7 to 55 U/L

• LDH: 122 to 222 U/L

Choice A is wrong because serum creatinine is not a marker of liver function, but of kidney function.The normal range for serum creatinine is 0.6 to 1.3 mg/dL for adults.

Choice E is wrong because platelet count is not a marker of liver function, but of blood clotting ability.The normal range for platelet count is 150 to 450 x 10^9/L.

A. Blood pressure B. Urine output C. Deep tendon reflexes D. Fetal heart rate

Correct Answer is C

Explanation

Deep tendon reflexes.

The nurse should monitor the client’s deep tendon reflexes to assess for signs of magnesium toxicity, which can cause respiratory depression, cardiac arrest, and coma.Magnesium sulfate is given to prevent seizures in clients with severe preeclampsia, but it can also have adverse effects on the neuromuscular system.

Calcium Gluconate Is The Antidote For Magnesium Sulfate Toxicity

Choice A is wrong because blood pressure is not the most important assessment for a client receiving magnesium sulfate.

Blood pressure is a manifestation of preeclampsia, but it does not indicate magnesium toxicity.

Choice B is wrong because urine output is not the most important assessment for a client receiving magnesium sulfate.

Urine output should be at least 25 to 30 mL/hr to promote adequate excretion of magnesium, but it does not reflect the level of magnesium in the blood.

Choice D is wrong because fetal heart rate is not the most important assessment for a client receiving magnesium sulfate.

Fetal heart rate is important to monitor for signs of fetal distress, but it does not indicate maternal magnesium toxicity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client with severe pre-eclampsia. Which of the following results would indicate hepatic involvement? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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?

Correct Answer is C

Explanation

A nurse is preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

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?

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?

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 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?

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 caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

(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 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?