A nurse is teaching a group of pregnant clients regarding ...

[yoroshambo]

A nurse is teaching a group of pregnant clients regarding seizures associated with eclampsia. The nurse will include which statement?
 
  A) The tonic phase of a grand mal seizure is evidenced by alternate contraction and relaxation of the muscles.
  B) The clonic phase of a grand mal seizure is evidenced by muscular contraction and rigidity.
  C) Seizures are rare in eclampsia, but they occur sometimes.
  D) Seizures do not occur in preeclampsia.

Question 2

The nurse identifies the diagnosis of Risk for Injury as appropriate for a client with preeclampsia. Which should the nurse include in this client's plan of care?
 
  A) Suggest family and friends phone frequently.
  B) Place in a semiprivate room.
  C) Provide stimulation with television and visitors.
  D) Limit phone calls and visitors.

[enass]

Answer to Question 1

Answer: D

Seizures do not occur in preeclampsia; eclampsia is diagnosed once a client has a seizure, so seizures are not rare in eclampsia. The tonic phase of a grand mal seizure is evidenced by muscular contraction and rigidity. The clonic phase of a grand mal seizure is evidenced by alternate contraction and relaxation of the muscles.

Answer to Question 2

Answer: D

The client with preeclampsia who is at risk for injury needs to be placed in a private room near the nurses' station. The room should be a quiet, with phone calls and visitors limited. The semiprivate room might provide too much stimulation. Television and visitors should be limited to reduce stimulation. Frequent phone calls would provide too much stimulation and should be limited.