The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient?

A) Risk for injury related to fetal distress
B) Imbalanced nutrition related to decreased sodium levels
C) Ineffective tissue perfusion related to poor heart contraction
D) Ineffective tissue perfusion related to vasoconstriction of blood vessels


D
Feedback:
In gestational hypertension, vasospasm occurs in both small and large arteries during pregnancy. This can lead to ineffective tissue perfusion. There is no evidence to suggest that the fetus is in distress. There is no enough information to support imbalanced nutrition. Gestational hypertension does not affect heart contractions.

Nursing

You might also like to view...

?A nursing one-month-old infant may grasp crudely at his mother's breast while feeding. That same child at the age of one year will probably easily hold a bottle or cup, placing it to his lips, and then putting it down when he is done. This change in ability to use the hands and fingers demonstrates advances in

A) gross motor skills B) locomotion C) fine motor skills D) concrete operations

Nursing

The nurse is caring for a client in the immediate postoperative period (PACU). Which of the following interventions would the nurse implement to reduce the risk of thrombophlebitis?

A) Leg exercises B) Cough every 2 hours. C) Ambulate every 2 hours. D) Oxygen by mask

Nursing

The client is being treated with Sprycel. The nurse notes that the tablets have been broken. What is the highest priority nursing intervention?

a. Notify the physician and hold the medication. b. Send the medication back to the pharmacy. c. Don gloves to administer the medication. d. Notify the pharmacist that tablets are broken.

Nursing

Drugs that most readily pass through the blood-brain barrier are:

1. water soluble. 2. lipid soluble. 3. protein bound. 4. highly ionized.

Nursing