Author Question: A client with preeclampsia is admitted complaining of pounding headache, visual changes, and ... (Read 49 times)

meagbuch · **on:** Jun 28, 2018

A client with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate:

a. gastrointestinal upset.
b. effects of magnesium sulfate.
c. anxiety caused by hospitalization.
d. worsening disease and impending convulsion.

Question 2

A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is 140/92 mm Hg. The most important nursing action is to:

a. advise her to cut down on fast foods that are high in fat.
b. caution her to avoid salty foods and to return in 2 weeks.
c. assess weight gain, location of edema, and urine for protein.
d. recommend she stay home from school for a few days to reduce stress.

SamMuagrove · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Headache and visual disturbances are caused by increased cerebral edema. Epigastric pain indicates distention of the hepatic capsules and often warns that a convulsion is imminent. Gastrointestinal upset is not an indication as severe as the headache and visual disturbance. She has not yet been started on magnesium sulfate as a treatment. The signs and symptoms do not describe anxiety.

Answer to Question 2

ANS: C
The nurse should further assess the client for hypertension, generalized edema, and proteinuria, which are classic signs of pregnancy-induced hypertension. Cutting down on fast foods will not relieve the symptoms of pregnancy-induced hypertension. She is at risk for pregnancy-induced hypertension and should be evaluated at this visit. Rest may be the treatment at first, but she needs further assessment to determine if pregnancy-induced hypertension is the problem.