95%(43)41 out of 43 people found this document helpful
This preview shows page 18 - 21 out of 105 pages.
Administers an antacid to the client and tell her to take a dose every 6 hours Rationale: Preeclampsia is dangerous to the woman and fetus because it can progress rapidly, and the earliest manifestations may go unnoticed by the woman. Some symptoms, such as epigastric pain and upset stomach, are particularly ominous because they indicate distention of the hepatic capsule and often mean that a seizure is imminent. Therefore telling the client to avoid lying flat position, instructing the client to eat a small portion of food every 2 to 3 hours, and administering an antacid and telling the client to take a dose every 6 hours are all incorrect. Additionally, the nurse would not administer an antacid to the pregnant client without a prescription to do so.Test-Taking Strategy: Use the process of elimination. Recalling that the nurse would not administer medication to the pregnant client without a prescription to do so will assist you in eliminating the option of administering an antacid first. Although the other options may be generally helpful interventions,
focus on the client’s diagnosis and recall that epigastric pain is a sign of impending seizures. Review the signs that indicate a worsening of preeclampsia if you had difficulty with this question.Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed., p. 624). St. Louis: Elsevier.Level of Cognitive Ability: ApplyingClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/ImplementationContent Area: Maternity/Antepartum Awarded 1.0 points out of 1.0 possible points. 18.ID: 283570748A nurse provides home care instructions to a client after a scleral buckling procedure. The nurse should tell the client: