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vSim - Olivia Jones Test Questions & Answers | with 100% Correct Answers | Updated & Verified
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Which of the entries on a patient's medical record are evidence of the diagnosis of severe preeclampsia? (Select all that apply.) a) Oliguria b) Blood pressure 182/116 mmHg c) 3 lb (1.4 kg) weight gain in 1 week d) Epigastric pain e) Negative urine ketones f) Scotomata - >>>>a) O...

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  • November 17, 2022
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  • 2022/2023
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vSim - Olivia Jones Test Questions & Answers Which of the entries on a patient's medical record are evidence of the diagnosis of severe preeclampsia? (Select all that apply. ) a) Oliguria b) Blood pressure 182/116 mmHg c) 3 lb (1.4 kg) weight gain in 1 week d) Epigastric pain e) Negative urine ketones f) Scotomata - >>>>a) Oliguria b) Blood pressure 182/116 mmHg c) 3 lb (1.4 kg) weight gain in 1 week d) Epigastric pain f) Scotomata All of these findings, except negative ketones, support the diagnosis. The urine finding supportive of this diagnosis is the presence of protein. Which of the following need to be implemented when a patient with severe preeclampsia is admitt ed to the hospital? (Select all that apply.) a) Television for entertainment b) Bed rest in a left lateral lying position c) Frequent visitors for diversion and support d) Seizure precautions e) Dim lighting f) Reduced environmental stimulation - >>>>b) B ed rest in a left lateral lying position d) Seizure precautions e) Dim lighting f) Reduced environmental stimulation The environment needs to be quiet, darkened, and relaxing. Seizure precautions are necessary for the potential development of eclampsia. T he changing light intensity from a television can aggravate CNS irritability. Having frequent visitors doesn't create a relaxing environment for the patient. What are the priorities of care if a pregnant woman experiences an eclamptic seizure? (Select all that apply.) a) Restrain the patient b) Protect the patient from injury c) Clear the airway d) Insert a bite block to protect the tongue e) Begin a cesarean birth immediately f) Administer oxygen - >>>>b) Protect the patient from injury c) Clear the airway f) Administer oxygen The priorities are airway, oxygenation, and protection from injury. Trying to insert a bite block or restraining a patient during a seizure may result in injury to the patient and the provider. Birth is not initiat ed until the seizures are under control. Patients with severe preeclampsia are at risk for developing acute pulmonary edema. What can the nurse do to prevent the development of this condition? a) Monitor the patient's SpO2 levels b) Use the incentive spi rometer every 2 hours c) Administer oxygen continuously

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