问题 单项选择题

When caring for a client with preeclampsia, which action is a priority()

A. Monitoring the client’s labor carefully and preparing for a fast delivery.

B. Continually assessing the fetal tracing for signs of fetal distress.

C. Checking vital signs every 15 minutes to watch for increasing blood pressure.

D. Reducing visual and auditory stimulation.

答案

参考答案:D

解析:

A client with preeclampsia is at risk for seizure activity because her neurologic system is overstimulated. Therefore, in addition to administering pharmacologic interventions to reduce the possibility of seizures, the nurse should lessen auditory and visual stimulation. Although the other actions are important, they’re of a lesser priority.

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