Diagnosis and tests
Diagnosis and tests ( 5 Questions)
A nurse is teaching a client with gestational hypertension about self-care measures to manage her condition at home.
Which of the following instructions should the nurse include?
Limiting fluid intake to less than 1 liter per day can cause dehydration and increase blood viscosity, which can worsen hypertension and increase the risk of thrombosis.
Lying on the left side can help reduce pressure on the inferior vena cava and improve blood flow to the uterus and the kidneys.
Lying on the right side or supine can impair venous return and increase blood pressure.
Gestational hypertension can cause complications for both the mother and the baby, such as preeclampsia, placental abruption, and intrauterine growth restriction.
Monitoring blood pressure at home can help detect any changes or signs of worsening condition and prompt early intervention.
Acetaminophen is a safe and effective analgesic and antipyretic for pregnant women.
It does not affect blood pressure or cause harm to the fetus.
Other medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin, should be avoided as they can increase the risk of bleeding, renal impairment, or premature closure of the ductus arteriosus.
This is because gestational hypertension can cause complications for both the mother and the baby, such as preeclampsia, placental abruption, and intrauterine growth restriction.
Monitoring blood pressure at home can help detect any changes or signs of worsening condition and prompt early intervention.
Choice A is wrong because limiting fluid intake to less than 1 liter per day can cause dehydration and increase blood viscosity, which can worsen hypertension and increase the risk of thrombosis.
Fluid intake should be adequate and balanced to maintain hydration and electrolyte balance.
Choice B is wrong because lying on the left side can help reduce pressure on the inferior vena cava and improve blood flow to the uterus and the kidneys.
Lying on the right side or supine can impair venous return and increase blood pressure.
Choice D is wrong because acetaminophen is a safe and effective analgesic and antipyretic for pregnant women.
It does not affect blood pressure or cause harm to the fetus.
Other medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin, should be avoided as they can increase the risk of bleeding, renal impairment, or premature closure of the ductus arteriosus.