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A 29-year-old primigravida at 34 weeks of gestation presents to the antenatal clinic with complaints of headache, visual disturbances, and upper abdominal pain under the ribs. Her blood pressure is 150/95 mmHg, and a urine dipstick test shows proteinuria (2+). Which of the following types of preeclampsia does this patient most likely have?
Nursing Practice (NP) Competency 1
Application. Note the Subject: The subject is a 29-year-old primigravida at 34 weeks of gestation with specific symptoms and clinical findings.
A pregnant patient at 28 weeks of gestation is diagnosed with preeclampsia based on her blood pressure reading (140/95 mmHg) on two separate occasions and a urine dipstick test showing 0.5 grams of protein in a 24-hour urine collection. What is the most appropriate nursing action for this patient?
Clinical Decision Making and Intervention (CDM) Competency 1
Application. Note the Subject: The subject is a pregnant patient diagnosed with preeclampsia at 28 weeks of gestation.
A 32-year-old pregnant patient with a history of preeclampsia in her previous pregnancy presents for her first prenatal visit. She is currently 12 weeks pregnant. Which nursing action is most appropriate for this patient?
Clinical Decision Making and Intervention (CDM) Competency 4
Application. Look for Strategic Words: The strategic word here is “most appropriate,” which suggests that we need to choose the action that is best suited for the patient’s current situation.
A nurse is caring for a patient with mild preeclampsia at 32 weeks of gestation. The patient’s blood pressure is 140/90 mmHg, and she has 24-hour urine protein of 0.3 grams. The healthcare provider has ordered bed rest for the patient. What should the nurse include when educating the patient about bed rest?
Clinical Decision Making and Intervention (CDM) Competency 4
Application. Note the Subject: The subject of the question is educating a patient with mild preeclampsia about bed rest.
A nurse is assessing a patient with preeclampsia. Which finding should the nurse consider as a potential sign of worsening preeclampsia and report to the healthcare provider?
Clinical Decision Making and Intervention (CDM) Competency 1
Application. Look for Strategic Words: The strategic words here are “potential sign of worsening preeclampsia” and “report to the healthcare provider.” We need to identify a concerning symptom associated with preeclampsia.