Health Promotion and Maintenance
26. A nurse is caring for a client who is hospitalized with severe pregnancy-induced hypertension (PIH). What would be an appropriate nursing intervention for this client?
Health Promotion and Maintenance
26. A nurse is caring for a client who is hospitalized with severe pregnancy-induced hypertension (PIH). What would be an appropriate nursing intervention for this client?
. Encourage visitors to spend time with her.
. Keep her in the supine position.
. Keep her room darkened and limit nursing visits.
. Keep her on modified bedrest in a lateral position.
Test-Taking Tip
Read options carefully. Both parts of the answer must be true to have the answer be the correct option.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Health Promotion and Maintenance
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Answer 1 is incorrect because the management of a client with severe pregnancy-induced hypertension (PIH) includes reducing stimulation to decrease her chance of developing seizures. Answer 2 is incorrect because severe PIH can decrease perfusion to the placenta and the supine position can also decrease perfusion, leading to fetal distress. Answer 3 is incorrect because, although the management of a client with severe PIH includes reducing stimulation to decrease her chance of developing seizures, it should not include "limiting nursing visits." The client requires frequent observation by a nurse. Answer 4 is correct because modified bedrest in a lateral position can decrease the client's blood pressure and increase the placental perfusion.