Author Question: A woman at 32 weeks' gestation is diagnosed with severe preeclampsia with HELLP syndrome. The nurse ... (Read 45 times)

corkyiscool3328 · **on:** Jun 28, 2018

A woman at 32 weeks' gestation is diagnosed with severe preeclampsia with HELLP syndrome. The nurse will identify which of the following as a positive patient care outcome?

a. Rise in serum creatinine
b. Drop in serum protein
c. Resolution of thrombocytopenia
d. Resolution of polycythemia

Question 2

For the patient with which of the following medical problems should the nurse question a physician's order for beta agonist tocolytics?

a. Type 1 diabetes mellitus
b. Cerebral palsy
c. Myelomeningocele
d. Positive group B streptococci culture

Juro · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: c
Feedback
a. A rise in serum creatinine indicates that the kidneys are not effectively excreting creatinine. It is a negative outcome.
b. A drop in serum protein indicates that the kidneys are allowing protein to be excreted. This is a negative outcome.
c. Resolution of thrombocytopenia is a positive sign. It indicates that the platelet count is returning to normal.
d. Polycythemia is not related to HELLP syndrome. Rather one sees a drop in red cell and platelet counts with HELLP. A positive sign, therefore, would be a rise in the RBC count.

Answer to Question 2

ANS: a
Feedback
a. Beta agonists often elevate serum glucose levels. The nurse should question the order.
b. Beta agonists are not contraindicated for patients with cerebral palsy.
c. Beta agonists are not contraindicated for patients with myelomeningocele.
d. Beta agonists are not contraindicated for patients with group B streptococci.