ATI Capstone Class Exam Week 12 | Nurselytic

Questions 45

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ATI Capstone Class Exam Week 12 Questions

Extract:


Question 1 of 5

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer: B

Rationale: The correct answer is B. Deep tendon reflexes of 1+ are inconsistent with preeclampsia. In preeclampsia, deep tendon reflexes are typically hyperactive (3+ or 4+). This is due to the central nervous system irritability caused by hypertension.
Therefore, a reflex of 1+ suggests normal reflexes, which is not expected in preeclampsia. Other choices A, C, and D are consistent with preeclampsia. Proteinuria (choice
A) is a hallmark sign of preeclampsia. Elevated blood pressure (choice
C) is a common finding in preeclampsia. Pitting edema (choice
D) is also commonly observed in preeclampsia due to fluid retention.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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