A patient with pregnancy-induced hypertension is admitted ...

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A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate
 
  a. Anxiety due to hospitalization
  b. Worsening disease and impending convulsion
  c. Effects of magnesium sulfate
  d. Gastrointestinal upset

Question 2

What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?
 
  a. You must hold still or I'll have someone hold you down. This is not going to
  hurt.
  b. This will hurt like a pinch. I'll get someone to help hold your arm still so it will
  be over fast and hurt less.
  c. Be a big boy and hold still. This will be over in just a second.
  d. I'm sending your mother out so she won't be scared. You are big, so hold still
  and this will be over soon.

[peilian]

Answer to Question 1

B
Feedback
A These are danger signs and should be treated.
B Headache and visual disturbances are due to increased cerebral edema.
Epigastric pain indicates distention of the hepatic capsules and often warns that a
convulsion is imminent.
C She has not been started on magnesium sulfate as a treatment yet. Also, these are
not expected effects of the medication.
D These are danger signs showing increased cerebral edema and impending
convulsion.

Answer to Question 2

B
Feedback
A Honesty is always best and a venipuncture may hurt.
B Honesty is the best approach. Children should be told what sensation they will
feel during a procedure. A 5-year-old child should not be expected to hold still,
and assistance ensures safety to everyone.
C This statement is not supportive or honest.
D Parents should be encouraged to remain with the child unless they are extremely
uncomfortable doing so.