The nurse is assessing a client who has severe pre-eclampsia. The ...

[Haya94]

The nurse is assessing a client who has severe pre-eclampsia. The assessment finding that should be reported to the physician is:
 
  1. 11 proteinuria.
  2. Platelet count of 20,000.
  3. Urine output of 50 ml per hour.
  4. 21 DTRs.

Question 2

Respiratory distress syndrome in the preterm infant is caused by a lack of ___________________ _.
 
  Fill in the blank(s) with correct word

[Alyson.hiatt@yahoo.com]

Answer to Question 1

2
Rationale:
1. The 11 spilling of protein is abnormal, but this is acceptable for a client with pre-eclampsia.
2. The client could be experiencing HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). This condition is sometimes associated with severe pre-eclampsia, and women who experience this multiple-organ-failure syndrome have high morbidity and mortality rates. A platelet count lower than 20,000 is critically low.
3. The urine output of .30 cc/hour is normal.
4. The DTRs of 21 are normal.

Answer to Question 2

surfactant

[Haya94]

Gracias!

[AngeliqueG]

Excellent