Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
A. Creatinine 0.8 mg/dL.
Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.
B. Platelet count 60,000/mm.
A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.
C. Hemoglobin 148 g/dL.
Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.
D. Urine protein concentration 200.
Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Maternal Newborn 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.
Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.
Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.
Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.
Similar Questions
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2.
Which of the following foods should the nurse recommend?
A. Brown rice.
Choice A is not the answer because brown rice was not mentioned in the search results as a source of vitamin B2.
B. Raw carrots.
Choice B is not the answer because raw carrots were not mentioned in the search results as a source of vitamin B2.
C. Fresh citrus fruits.
Choice C is not the answer because fresh citrus fruits were not mentioned in the search results as a source of vitamin B2.
D. Fortified soy milk.
Fortified soy milk is a good source of vitamin B2 for vegans.
Full Explanation
Fortified soy milk is a good source of vitamin B2 for vegans.
Choice A is not the answer because brown rice was not mentioned in the search results as a source of vitamin B2.
Choice B is not the answer because raw carrots were not mentioned in the search results as a source of vitamin B2.
Choice C is not the answer because fresh citrus fruits were not mentioned in the search results as a source of vitamin B2.
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Which of the following clinical findings should the nurse instruct the client to report?
A. Increased muscle weakness.
Magnesium sulfate is used to prevent seizures in women with preeclampsia. However, taking too much magnesium can be life-threatening to both mother and child. In women, one of the most common symptoms of magnesium toxicity is muscle weakness.
B. Increased fetal movement.
Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
C. Increased respiratory rate.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
D. Increased urinary output.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.
E. Increased urinary output.
Full Explanation
Magnesium sulfate is used to prevent seizures in women with preeclampsia.
However, taking too much magnesium can be life-threatening to both mother and child.
In women, one of the most common symptoms of magnesium toxicity is muscle weakness12.
Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion.
Which of the following laboratory values should the nurse review during tocolytic therapy?
A. Indirect Coombs test.
Choice A is not an answer because an indirect Coombs test is used to detect antibodies against red blood cells and is not relevant to magnesium sulfate therapy.
B. Serum medication level.
When a client is receiving magnesium sulfate by continuous IV infusion for preterm labor, it is important for the nurse to review the serum medication level to ensure that the client is receiving an appropriate dose and to monitor for signs of magnesium toxicity.
C. Liver enzymes.
Choice C is not an answer because liver enzymes are not directly relevant to magnesium sulfate therapy.
D. Uric acid level.
Choice D is not an answer because uric acid levels are not directly relevant to magnesium sulfate therapy.
Full Explanation
When a client is receiving magnesium sulfate by continuous IV infusion for preterm labor, it is important for the nurse to review the serum medication level to ensure that the client is receiving an appropriate dose and to monitor for signs of magnesium toxicity.
Choice A is not an answer because an indirect Coombs test is used to detect antibodies against red blood cells and is not relevant to magnesium sulfate therapy.
Choice C is not an answer because liver enzymes are not directly relevant to magnesium sulfate therapy.
Choice D is not an answer because uric acid levels are not directly relevant to magnesium sulfate therapy.