Practice Quiz

NCLEX-PN

Category - Health Promotion

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The nurse at a prenatal clinic is assessing a 35-year-old female who has a blood pressure measurement of 140/90 with mild edema in her upper extremities and face. Laboratory findings reveal proteinuria. Which of the following interventions by the nurse is the most appropriate?
  1. Initiate a restricted-sodium diet
  2. Maintain bed rest in lateral recumbent position
  3. Obtain daily hematocrit levels, as ordered
  4. Instruct the client to adhere to prenatal checkups every 2 weeks
Explanation
Answer: B - Bed rest in lateral recumbent position is the most appropriate and effective intervention when caring for clients with mild pre-eclampsia. The nurse should encourage the client to continue her usual pregnancy diet. Option C is only initiated in clients with severe eclampsia. Clients with hypertension have to be seen by the physician weekly.
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