Page 719 - Saunders Comprehensive Review For NCLEX-RN

occur but is not a specific sign of preeclampsia because it can occur in many
conditions.
Test-Taking Strategy: Focus on the subject, a sign of preeclampsia. Thinking
about the pathophysiology associated with preeclampsia will direct you to the
correct option. Remember that hypertension is associated with preeclampsia.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Maternity: Antepartum
Health Problem: Maternity: Gestational hypertension/preeclampsia and eclampsia
Priority Concepts: Clinical Judgment; Perfusion
Reference: McKinney et al. (2018), pp. 537-538.

211. Answer: 1

Rationale: Insulin needs decrease in the first trimester of pregnancy because of
increased insulin production by the pancreas and increased peripheral sensitivity to
insulin. The statements in options 2, 3, and 4 are accurate and signify that the client
understands control of her diabetes during pregnancy.
Test-Taking Strategy: Note the strategic words, further teaching is needed. These
words indicate a negative event query and the need to select an incorrect client
statement. Eliminate options 2, 3, and 4 because they are comparable or alike and
are accurate statements. Remember that insulin needs decrease in the first trimester
of pregnancy.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Maternity: Antepartum
Health Problem: Maternity: Diabetes
Priority Concepts: Client Education; Glucose Regulation
Reference: McKinney et al. (2018), p. 553.

212. Answer: 2

Rationale: More than one medication may be used to prevent the growth of
resistant organisms in a pregnant client with tuberculosis. Treatment must continue
for a prolonged period. The preferred treatment for the pregnant client is isoniazid
plus rifampin daily for 9 months. Ethambutol is added initially if medication
resistance is suspected. Pyridoxine (vitamin B ) often is administered with isoniazid
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to prevent fetal neurotoxicity. The client does not need to stay at home during
treatment, and therapeutic abortion is not required.
Test-Taking Strategy: Focus on the subject, therapeutic management for a client
with tuberculosis. Recalling the pathophysiology associated with tuberculosis and its
treatment will assist in eliminating options 1, 3, and 4.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning

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