A pregnant woman is being evaluated for hypertension. Her baseline pressure at the first prenatal visit at 8 weeks was 112/68. Other recorded pressures include 118/74 at 16 weeks, 122/70 at 20 weeks, and 146/92 at 24 weeks
She is now 28 weeks, with a blood pressure of 152/96 and urine protein of 3+. The nurse anticipates a diagnosis of: A) chronic hypertension. B) gestational eclampsia. C) pre-eclampsia. D) gestational hypertension.
C
You might also like to view...
An 18-year-old female of Southeast Asian ancestry is distraught over the recent appearance of white patches on her forearms and upper arms, which have been subsequently confirmed as vitiligo. Which of the following statements by the woman express an accurate understanding of her condition?
A) "I suppose it's some comfort that my patches are small and will always stay out of sight in the future." B) "I'm thankful that there are medications to cure this, but I'm nervous about the side effects." C) "I suppose this shouldn't come as too much of surprise, since this tends to run in my family." D) "I'm surprised that I ended up contacting that fungus that caused this problem for me."
One evening, a client with schizophrenia leaves his room and begins marching in the hall. When approached by the nurse, the client says, "God says I'm supposed to guard the area." Which of the following responses would be best?
A) "I understand you hear a voice. You and I are the only ones in the hall, and I don't hear a voice." B) "The voices are part of your illness and they will leave in time." C) "This guarding responsibility can make you tired. You rest for now, and I'll guard a while." D) "You are just imagining these things. Do not pay any attention to the voices."
A 38-year-old client presents to the pain clinic with complaints of phantom pain. The client was involved in a farming accident 3 years previously that resulted in a below-the-elbow amputation of his right arm
The nurse knows that phantom pain is categorized as: 1. Painful polyneuropathy 2. Somatic pain 3. Sympathetically maintained pain 4. Deafferentation pain
A client has been admitted to the medical–surgical unit for pain evaluation. The client has arthritis and has been taking ibuprofen for many years to help alleviate the pain. What is the most important assessment for this client?
1. Respiratory auscultation to rule out congestion 2. Reviewing renal laboratory studies 3. A complete blood count (CBC) with differential to monitor for infection 4. An electrocardiogram for possible cardiomyopathy