In planning the care for women with preeclampsia, nurses should be aware that:

1. induction of labor is likely, as near term as possible.
2. if at home, the woman should be confined to her bed, even with mild preeclamp-sia.
3. a special diet low in protein and salt should be initiated.
4. vaginal birth is still an option for even severe cases.


1
1. Correct. At less than 37 weeks of gestation, however, immediate delivery may not be in the best interest of the fetus.
2. Incorrect. Strict bed rest is becoming controversial for mild cases; some women in the hospital are even allowed to move around.
3. Incorrect. Diet and fluid recommendations are much the same as for healthy pregnant women, although some authorities have suggested a diet high in protein.
4. Incorrect. Women with severe preeclampsia should expect cesarean delivery.

Nursing

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The nurse, a member of the health care team in the ED, is caring for a patient who is determined to be in the irreversible stage of shock. What would be the most appropriate nursing intervention?

A) Provide opportunities for the family to spend time with the patient, and help them to understand the irreversible stage of shock. B) Inform the patient's family immediately that the patient will likely not survive to allow the family time to make plans and move forward. C) Closely monitor fluid replacement therapy, and inform the family that the patient will probably survive and return to normal life. D) Protect the patient's airway, optimize intravascular volume, and initiate the early rehabilitation process.

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An elderly client has had a permanent feeding tube placed as a result of dysphagia. Which of the following nursing interventions will decrease the risk of aspiration?

A) flushing the tube with water before, between, and after each medication administered through the tube B) administering formulas that contain fiber C) keeping the head of the bed elevated at least 30? whenever the tube feeding is running by pump D) the risk of aspiration no longer exists after a permanent feeding tube has been placed

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The nurse understands the most common joint to be affected by hyperuricemia is the:

a. metacarpal phalangeal joint. c. elbow joint. b. ankle joint. d. metatarsophalangeal joint.

Nursing

Describe how menus should be planned and state how far in advance you should plan meals.

What will be an ideal response?

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