The home health nurse is assessing a 17-year-old pregnant client at 34 weeks of gestation who has been diagnosed with preeclampsia. Upon assessment, the nurse finds that the client has gained 2 pounds in the past week and her blood pressure is 144/92 mmHg. Which assessment finding would require further action by the nurse?
Visual disturbances
Frequent voiding in large amounts
1+ pedal edema
One headache in the past week
The Correct Answer is A
Visual disturbances would require further action by the nurse as they can be a sign of worsening preeclampsia and a potential indication for immediate medical attention. The client's recent weight gain and elevated blood pressure are also concerning findings, but visual disturbances are a more urgent symptom. Frequent voiding in large amounts and 1+ pedal edema are common in pregnancy, while one headache in the past week may or may not be significant depending on the context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Effective health communication requires that messages be designed with the audience's needs and characteristics in mind, and pretesting is an important part of this process. Pretesting materials for feedback about comprehension helps to ensure that the messages are clear, understandable, and culturally appropriate for the target audience. This also allows the nurse to make any necessary revisions to improve the materials' effectiveness.
The nurse's target audience should be specific to those who have infants or who are expecting an infant, rather than including all residents, as this is too broad and may not effectively reach the intended audience. Additionally, the use of radio advertisements developed in English only may not be effective for reaching all members of the community, particularly those who do not speak English as their primary language. Lastly, materials written at a high school reading level may not be appropriate for all members of the community, particularly those with lower levels of literacy.
Correct Answer is D
Explanation
While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.
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