ATI Real Life 4.0 Preeclampsia NSG 3113 South College | UPDATED
Questions with 100% Verified Answers
Question:
Nurse Alex is reviewing the EMRs in preparation to transfer
Ms. Kline to the maternal newborn unit. Use the SBAR
format to prepare a transfer report.
Answer:
S= 25 yr old female, gravida 1, para 0, 27 weeks gestation.
Came to the emergency department this morning at 0800 B=
Reports siudden weight gain , and a new onset of nausea and
vomitting, also lurred vision and headavhe. She says she had
breakfast this moring but vomited soon after eating A+ Vital
Signs: T37.0 P92, R22, BP 162/88, O2 sat 97%, urine protien
1+, deep tendon reflexes 3+, reports right upper quadrant
pain, nausea and vomiting and blurred vision with a headache
R= Recommendation is to transfer her to maternal newborn
unit.
Question:
Nurse Morgan completes an admission assessment for Ms.
Klein. Based on the assessment, which of the following is the
priority nursing intervention at this time?
a) initiate seizure precautions
b) inset an indwelling urinary catheter
c) monitor Ms. Klein's I&O
d) apply antiembolism stockings
Answer:
The greatest risk to the client and fetus is injury from seizures
an resulting hypoxemia. The priority intervention is to initiate
seizure precautions.
Question:
Questions with 100% Verified Answers
Question:
Nurse Alex is reviewing the EMRs in preparation to transfer
Ms. Kline to the maternal newborn unit. Use the SBAR
format to prepare a transfer report.
Answer:
S= 25 yr old female, gravida 1, para 0, 27 weeks gestation.
Came to the emergency department this morning at 0800 B=
Reports siudden weight gain , and a new onset of nausea and
vomitting, also lurred vision and headavhe. She says she had
breakfast this moring but vomited soon after eating A+ Vital
Signs: T37.0 P92, R22, BP 162/88, O2 sat 97%, urine protien
1+, deep tendon reflexes 3+, reports right upper quadrant
pain, nausea and vomiting and blurred vision with a headache
R= Recommendation is to transfer her to maternal newborn
unit.
Question:
Nurse Morgan completes an admission assessment for Ms.
Klein. Based on the assessment, which of the following is the
priority nursing intervention at this time?
a) initiate seizure precautions
b) inset an indwelling urinary catheter
c) monitor Ms. Klein's I&O
d) apply antiembolism stockings
Answer:
The greatest risk to the client and fetus is injury from seizures
an resulting hypoxemia. The priority intervention is to initiate
seizure precautions.
Question:
