Oliva Jones Preeclampsia vSims Complex Pre & Post Quiz test 2023

Oliva Jones Preeclampsia vSims Complex Pre & Post Quiz test 2023 Post-test A patient with preeclampsia is admitted with viral signs as follows: Temp 98.6F, HR 110 bpm, RR 28, BP 182/116, O2 92%. The FHR is 150. Which of the following interventions would the nurse implement based on the findings? - Administer Oxygen Post-test The nurse knows to implement seizure precautions for Ms. Jones because of her severe preeclampsia. Which of the following actions would the nurse take? Select all that apply. Bring suction equipment to the bedside Place the patient's arms and legs in restrai nts Insert a tongue depressor into the patient's mouth Have oxygen available Pad the side rails - Bring suction equipment Have O2 available Pad side rails. Post-test Monitoring Ms. Jones liver enzymes, chemistry panel, and coagulation studies will assist the nurse to determine if the patient's condition is progressing to what? - HELLP Post-test Ms. Jones magnesium sulfate infusion is started. How does the nurse assess the effectiveness of he magnesium sulfate treatment? - Monitor deep tendon reflexes (DTR s). Post-test Ms. Jones mother asks the nurse if preeclampsia can be cured. What is the most appropriate response by the nurse? - Birth of the infant is the only cure. Post-test Ms. Jones tells the nurse she has a severe pain under her right breast and a sks, "Do you think I am having a heart attack?" What is the nurse's best response? - No, you are having epigastric pain, which is caused by decreased blood flow to your liver because of your high blood pressure. Post-test Ms. Jones presents with chest tig htness and coarse crackles. What additional assessment parameters would the nurse evaluate to determine her pulmonary/respiratory status? (Select all that apply) Presence of a productive cough Neck vein distension RUQ pain Vomiting Urine output Restlessness - Restlessness Presence of a productive cough Neck vein distension. Post-test Ms. Jones is complaining of nausea and RUQ pain. Which set of labs would the nurse expect the provider to order based on her symptoms? - Lactate dehydrogenase (LDH) , alanine aminotransferase (ALT), aspartate aminotransferase (AST). Post-test A review of Ms. Jones lab results reveals thrombocytopenia. Based on this information, which of the following nursing actions is important while caring for this patient? - Apply firm pressure to puncture sites for 2 minutes. Post-test After admitting Ms. Jones, the nurse calls the provider. What data would the nurse include in the situation -background -assessment -recommendation (SBAR) communications? (Select all that apply) Mothe r thinks her daughter is having a heart attack RUQ pain Severe headache Patient is scared Clonus 1+ Coarse crackles in lungs - RUQ pain Clonus 1+ Coarse crackles in lungs Severe headache Pre-test Which of the entries on a patient's medical record are evid ence of the diagnosis of severe preeclampsia? (Select all that apply) Oliguria Blood pressure 182/116 mm Hg Scotomata 3 lb. (1.4 kg) weight gain in 1 week Epigastric pain Negative urine ketones - Epigastric pain, Blood pressure 182/116 mm Hg, 3 lb (1.4 kg) weight gain in 1 week, Scotomata , Oliguria.