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A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would lead the nurse to suspect that the client is having an adverse effect associated with this drug?

A.

Gastrointestinal bleeding

B.

Sweating

C.

Tachycardia

D.

Blurred vision

Answer and Explanation

The Correct Answer is C

Choice A Reason: This is incorrect because gastrointestinal bleeding is not an adverse effect of hydralazine, which is a vasodilator that lowers blood pressure by relaxing the smooth muscles of the blood vessels. Gastrointestinal bleeding can be caused by other conditions such as ulcers, gastritis, or hemorrhoids.

Choice B Reason: This is incorrect because sweating is not an adverse effect of hydralazine, but a normal response to vasodilation and heat loss. Sweating can also be caused by other factors such as fever, anxiety, or exercise.

Choice C Reason: This is correct because tachycardia is an adverse effect of hydralazine, which can occur as a reflex response to vasodilation and hypotension. Tachycardia can increase the cardiac workload and oxygen demand, which can be harmful for pregnant women with preeclampsia who already have impaired placental perfusion and fetal hypoxia.

Choice D Reason: This is incorrect because blurred vision is not an adverse effect of hydralazine, but a symptom of severe preeclampsia that indicates cerebral edema or ischemia. Blurred vision can also be caused by other conditions such as diabetes, glaucoma, or cataracts.
 


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Related Questions

Correct Answer is ["31"]

Explanation

The correct answer is 31 gtts/min. To calculate the infusion rate, the nurse should use the following formula:

Infusion rate (gtts/min) = Volume (mL) x Drop factor (gtts/mL) / Time (min)

Plugging in the given values, we get:

Infusion rate (gtts/min) = 1000 mL x 15 gtts/mL / 480 min

Infusion rate (gtts/min) = 31.25 gtts/min

Rounding to the nearest whole number, we get 31 gtts/min.

Correct Answer is B

Explanation

Choice A Reason: This is incorrect because ambivalence is a mixed or contradictory feeling towards something or someone. It may occur in some women during pregnancy, especially if the pregnancy was unplanned or unwanted. However, it is not the most likely emotional response in the first trimester.

Choice B Reason: This is correct because emotional lability is a rapid and exaggerated change in mood or affect. It may occur in many women during pregnancy due to hormonal fluctuations, physical changes, and psychological stressors. Emotional lability may manifest as increased irritability, anxiety, sadness, or crying spells.

Choice C Reason: This is incorrect because introversion is a personality trait that indicates a preference for solitude and inward focus. It may be present in some women before or during pregnancy, but it is not an emotional response that is specific to the first trimester.

Choice D Reason: This is incorrect because acceptance is a positive attitude that indicates a willingness to embrace the reality of something or someone. It may develop in some women during pregnancy as they adjust to their new role and identity as mothers. However, it is not the most likely emotional response in the first trimester.

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