ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Ensure that the side rails are up on the client's bed. For a client with severe preeclampsia at 32 weeks of gestation, safety is a priority due to the risk of seizures. By ensuring the side rails are up, the nurse can prevent the client from falling out of bed during a seizure. This action promotes the client's safety and prevents potential harm. Ambulating the client (
B) may not be safe due to the risk of seizures and potential for sudden changes in blood pressure. Checking the fetal heart rate (
C) is important but not the priority in this situation. Providing a low-protein diet (
D) is not appropriate as the client may need protein for adequate nutrition during pregnancy.
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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