HESI Case Study Preeclampsia Ashley Cash

HESI Case Study Preeclampsia Ashley Cash 1. In reviewing Ashley's history, the RN is correct in concluding that Jennie is in jeopardy of developing a hypertensive disorder because of her age (15). Which other factor(s) add to Ashelys risk of developing preeclampsia? (Select all) Ans- -Familial history -Preexisting medical or genetic condition, such as Factor V Leiden -Nulliparity 2. To accurately assess this client's condition, what information from the prenatal record is most important for the RN to obtain? Ans- Prenatal blood pressure reading 3. What is the pathophysiology responsible for Ashely's complaint of a pounding headache and the elevated DTRs? Ans- cerebral edema 4. Ashely's sister is concerned about the edema in her sister's face and hands. She asks the RN if the (HCP) will prescribe some of "those water pills" (diuretics) to help get rid of the excess fluid. Which response by the RN is correct? Ans- "Let me explain to you about the effect of diuretics on pregnancy. 5. After the RN establishes IV placement, she collects a bag of D5LR for the oxytocin, which is available as 20 units in 1000mL D5LR. The order from the HCP is oxytocin 2mU/min to augment labor. Calculate the drip rate for the oxytocin. (Whole number) Ans- 6 1/1000 x 2mu/1hr= 2000/20000= 0.10 x 60 min= 6mL/hr 6. While the RN is awaiting the lab results to determin if Ashely has elevatioin in liver function, diminished kidney function, or altered coagulopathies, which question should the RN ask Ashely? (Select all) Ans- -"Do you have a Dizziness? -Do you have blurry vision?" -"Do you have abdominal pain" -"Do you have shortness of breath or chest discomfort?" 7. Which technique should the RN use when evaluating Ashely's blood pressure while Ashely is on bedrest? Ans- Have Ashely lie in a lateral position and take the blood pressure on the dependent arm