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A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?

Hgb 13 g/dl

BUN 8 mg/dL

Bilirubin 1.8 mg/dL

Hct 38%

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A hemoglobin level of 13 g/dL is within the normal range and is not specifically indicative of HELLP syndrome.

Choice B rationale:

A blood urea nitrogen (BUN) level of 8 mg/dL is within the normal range and is not typically associated with HELLP syndrome.

Choice C rationale:

Elevated bilirubin levels are a characteristic feature of HELLP syndrome, which involves liver dysfunction.

Choice D rationale:

A hematocrit level of 38% is within the normal range and is not specifically indicative of HELLP syndrome.

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Correct Answer is B

Explanation

Choice A rationale:

A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.

Choice B rationale:

Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.

Choice C rationale:

Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.

Choice D rationale:

Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.

A. "You should perform 30 minutes of high-impact exercises twice each week." B. "You can become pregnant until 1 year passes without a menstrual period." C. "You should perform 10 pelvic muscle exercises each day." D. "You can use an all-based lubricant if you experience painful vaginal intercourse.

Correct Answer is B

Explanation

Choice A rationale:

High-impact exercises might not be suitable for all clients and could potentially exacerbate symptoms such as joint pain or discomfort.

Choice B rationale:

Menopause is confirmed after 12 consecutive months without a menstrual period. Until this point, there is still a risk of pregnancy, and contraceptive measures should be used.

Choice C rationale:

Pelvic muscle exercises (Kegel exercises) are important for strengthening pelvic floor muscles but are not specifically related to menopause.

Choice D rationale:

Using a water-based lubricant for painful vaginal intercourse is a helpful suggestion, but it is not the primary focus of menopause education.

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A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

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