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A nurse is assisting with the admission of a client who has hyperemesis gravidarum.

 

Which of the following laboratory tests is the priority to complete?

A.

Serum bilirubin.

B.

Liver enzymes.

C.

CBC.

D.

Urinalysis for ketones.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Serum bilirubin is not the priority test for hyperemesis gravidarum. It is more relevant for assessing liver function and jaundice.

 

Choice B rationale

 

Liver enzymes may be elevated in hyperemesis gravidarum, but they are not the priority test. The primary concern is dehydration and electrolyte imbalance.

 

Choice C rationale

 

A CBC can provide information on the client’s overall health, but it is not the priority test for hyperemesis gravidarum. The focus should be on assessing hydration status.

 

Choice D rationale

 

Urinalysis for ketones is the priority test because it helps assess the severity of dehydration and malnutrition. The presence of ketones indicates that the body is breaking down fat for energy, which is a sign of inadequate caloric intake.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Limiting the client’s daily fluid intake is not recommended. Adequate hydration is important for clients with mastitis to help clear the infection and maintain milk supply.

Choice B rationale

Encouraging the client to continue to breastfeed is recommended. Breastfeeding helps to empty the breasts and reduce milk stasis, which can alleviate symptoms of mastitis.

Choice C rationale

Preparing the client for an abdominal sonogram is not relevant to the management of mastitis. Mastitis is typically diagnosed based on clinical symptoms and physical examination.

Choice D rationale

Encouraging the client to wear a bra that is loose fitting is not recommended. A well-fitting, supportive bra can help to reduce discomfort and support the breasts during mastitis.

Correct Answer is D

Explanation

Choice A rationale

White blood cell count is not an indicator of anemia. It measures immune function and can indicate infection or inflammation.

Choice B rationale

Urine specific gravity does not identify the risk for pregnancy-induced hypertension. It measures the concentration of urine and can indicate hydration status.

Choice C rationale

Sedimentation rate does not check for signs of cancer. It measures inflammation in the body and can indicate various conditions.

Choice D rationale

Platelet count identifies if the client is at risk for bleeding. Low platelet levels can indicate a higher risk of bleeding and are important to monitor during pregnancy.

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