PNNCLEX Preeclampsia Nursing

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Nursing care scenarios

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PNNCLEX Preeclampsia Nursing


Froggy Jumps PNNCLEX Preeclampsia NursingVersión en línea Nursing care scenarios por RNPRPEPBESTIE 1 A patient receiving magnesium sulfate has a respiratory rate of 10/min and is difficult to awaken. The infusion is running as ordered. What is the priority? a Elevate the head of the bed and reassess in 15 minutes b Reassess oxygen saturation and document findings c Hold the infusion, maintain airway support, and notify the RN immediately 2 A patient 48 hours postpartum develops a severe headache and new visual disturbances. BP is 164/108. What should the nurse do first? a Administer heat packs to the neck b Provide oral fluids c Initiate seizure precautions and reduce environmental stimuli 3 A preeclampsia patient reports new visual disturbances and right upper quadrant pain. BP is 168/106. What is the priority action? a Notify the RN immediately of findings indicating severe features b Recheck blood pressure in 15 minutes c Provide a calm, low-stimulus environment 4 A patient on magnesium sulfate has absent deep tendon reflexes and urine output of 18 mL/hr. What should the nurse do first? a Increase maintenance IV fluids b Hold magnesium, maintain safety, and notify the RN of toxicity signs c Document findings and continue monitoring 5 A patient receiving magnesium sulfate is drowsy with intact reflexes and respirations of 16/min. Vital signs are stable. What is the appropriate action? a Continue magnesium as prescribed and maintain monitoring b Reduce the infusion rate c Request a stat magnesium level 6 A preeclampsia patient with a Foley catheter shows a downward trend in urine output and reports a severe headache. What is the priority? a Encourage rest in a side-lying position b Assess for neurologic changes and notify the provider c Provide oral fluids 7 The nurse evaluates a patient receiving magnesium sulfate and reinforces teaching on monitoring. Which statement reflects accurate information? a “These checks help determine how well the medication lowers blood pressure.” b “The monitoring shows whether you are progressing toward delivery.” c “We check your reflexes and breathing to identify early signs of toxicity.” 8 A preeclampsia patient demonstrates new facial swelling and labs show a drop in platelets. What action should the nurse take? a Monitor urine output for the next hour b Apply cool compresses for comfort c Notify the RN regarding findings consistent with severe features 9 A preeclampsia patient is placed on seizure precautions. Which nursing action is the priority? a Ensure airway equipment is available at the bedside b Raise all four side rails for safety c Provide dim lighting in the room 10 A patient with suspected HELLP reports worsening right upper quadrant pain and nausea. Platelets are decreasing and liver enzymes are elevated. What is the priority action? a Initiate ordered fetal and maternal monitoring and notify the RN of worsening findings b Encourage position changes for comfort c Offer ice chips for nausea

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PNNCLEX Preeclampsia Nursing

Froggy Jumps

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Froggy Jumps

PNNCLEX Preeclampsia NursingVersión en línea

por RNPRPEPBESTIE

A patient receiving magnesium sulfate has a respiratory rate of 10/min and is difficult to awaken. The infusion is running as ordered. What is the priority?

A patient 48 hours postpartum develops a severe headache and new visual disturbances. BP is 164/108. What should the nurse do first?

A preeclampsia patient reports new visual disturbances and right upper quadrant pain. BP is 168/106. What is the priority action?

A patient on magnesium sulfate has absent deep tendon reflexes and urine output of 18 mL/hr. What should the nurse do first?

A patient receiving magnesium sulfate is drowsy with intact reflexes and respirations of 16/min. Vital signs are stable. What is the appropriate action?

A preeclampsia patient with a Foley catheter shows a downward trend in urine output and reports a severe headache. What is the priority?

The nurse evaluates a patient receiving magnesium sulfate and reinforces teaching on monitoring. Which statement reflects accurate information?

A preeclampsia patient demonstrates new facial swelling and labs show a drop in platelets. What action should the nurse take?

A preeclampsia patient is placed on seizure precautions. Which nursing action is the priority?

A patient with suspected HELLP reports worsening right upper quadrant pain and nausea. Platelets are decreasing and liver enzymes are elevated. What is the priority action?