Author Question: The nurse caring for a client who is 20 weeks pregnant realizes that which of the following health ... (Read 34 times)

KimWrice · **on:** Jul 22, 2018

The nurse caring for a client who is 20 weeks pregnant realizes that which of the following health issues can predispose the client to developing eclampsia?

1. Fibrocystic breast disease
2. Type 2 diabetes mellitus
3. Surgery for ruptured appendix 1 year prior
4. Treatment for vitamin D deficiency

Question 2

A client presents to the clinic with symptoms of severe flank pain with spasms, nausea, vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the lower back to the lower quadrants of the abdomen.

The nurse's next action is which of the following? 1. Call a urologist immediately
2. Obtain a urine specimen for culture
3. Complete the physical assessment
4. Instruct the client to increase fluids

Tonny · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Type 2 diabetes mellitus

Rationale:
Risk factors for the development of eclampsia include diabetes mellitus. The other choices will not predispose the client to developing eclampsia.

Answer to Question 2

1. Call a urologist immediately

Rationale:
Hydroureter is a complication that occurs when a renal calculus moves into the ureter and blocks and dilates the ureter. Symptoms include severe pain and spasms, nausea, vomiting, and diminished volume of urine. Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; medical collaboration should be initiated immediately. All other options, while important to complete, would not be appropriate in an emergency situation.