NCLEX-PN Practice Q 10

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The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for:

  

     A. Ankle edema

     B.Diminished reflexes

     C. Facial swelling

     D.Pulse deficits

    

    

Correct Answer: C. Facial swelling

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Option C: The nurse should pay close attention to swelling in the client with preeclampsia. Facial swelling indicates that the client’s condition is worsening and blood pressure will be increased.

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Option A: Ankle edema is expected in pregnancy.

Option B: Diminished reflexes are associated with the use of magnesium sulfate, which is the treatment of preeclampsia.

Option D: Pulse deficit is not commonly a concern for the disease.

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