An indwelling urinary catheter is inserted for a woman with a high spinal cord injury who has had a cesarean birth. As you walk into her room, you notice her face is reddened and she says she has a sharp headache.
You take her blood pressure and discover it is 160/120 . Which of the following would you do first?
A) Lower her head and ask her to breathe slowly in and out.
B) Raise her head and assess the catheter for blockage.
C) Immediately cut and remove the indwelling catheter.
D) Sit her up abruptly and massage her lower back.
Question 2
The perinatal nurse is providing care to Meghan, a 32-year-old G1 TPAL 0000 at 34 weeks gestation. Her blood pressure is 170/100, reflexes are +3, urine is 2+ for protein and Meghan is complaining of a headache.
An intravenous solution of Magnesium Sulfate is begun with an hourly dose of 2 grams. One of the parameters that the perinatal nurse is observing carefully in Meghan's blood work is:
A) Hematocrit
B) Neutrophil count
C) Aspartate aminotransferase (AST)
D) Gamma-glutamyl transpeptidase
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