Diagnostic Criteria and Investigations
Diagnostic Criteria and Investigations ( 16 Questions)
A nurse is caring for a client with HELLP syndrome who is receiving magnesium sulfate intravenously.
What is the main purpose of this medication?
Monitoring fetal heart rate and uterine activity continuously is not a priority intervention for a client with eclampsia. The priority is to prevent seizures and control blood pressure.
Administering oxytocin to augment labor is contraindicated in a client with eclampsia. Oxytocin can increase blood pressure and cause uterine hyperstimulation, which can worsen the condition and endanger the mother and the fetus.
Maintain a dark and quiet environment. This intervention helps to reduce sensory stimulation and prevent seizures in a client with eclampsia.
Encouraging oral fluids and a high-protein diet is not appropriate for a client with eclampsia.
The client should be kept NPO to prevent aspiration in case of a seizure. A high-protein diet can increase the risk of renal failure and hepatic dysfunction.
Assessing for signs of placental abruption is not a specific intervention for a client with eclampsia. Placental abruption can occur as a complication of eclampsia, but it is not the main focus of care.
Maintain a dark and quiet environment. This intervention helps to reduce sensory stimulation and prevent seizures in a client with eclampsia.
Choice A is wrong because monitoring fetal heart rate and uterine activity continuously is not a priority intervention for a client with eclampsia. The priority is to prevent seizures and control blood pressure.
Choice B is wrong because administering oxytocin to augment labor is contraindicated in a client with eclampsia. Oxytocin can increase blood pressure and cause uterine hyperstimulation, which can worsen the condition and endanger the mother and the fetus.
Choice D is wrong because encouraging oral fluids and a high-protein diet is not appropriate for a client with eclampsia.
The client should be kept NPO to prevent aspiration in case of a seizure. A high-protein diet can increase the risk of renal failure and hepatic dysfunction.
Choice E is wrong because assessing for signs of placental abruption is not a specific intervention for a client with eclampsia. Placental abruption can occur as a complication of eclampsia, but it is not the main focus of care.