73. A client, who is 15 years old, gravida 1, para 0, is admitted to a labor and delivery unit with a diagnosis of HELLP syndrome. Which laboratory finding, associated with HELLP syndrome should be of greatest concern to a nurse?
73. A client, who is 15 years old, gravida 1, para 0, is admitted to a labor and delivery unit with a diagnosis of HELLP syndrome. Which laboratory finding, associated with HELLP syndrome should be of greatest concern to a nurse?
. Elevated blood glucose.
. Elevated platelet count.
. Elevated creatinine clearance.
. Elevated liver enzymes.
Test-Taking Tip
Remembering what the acronym HELLP means will give information about the changes that occur with this variant of preeclampsia.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is incorrect because elevated blood glucose is associated with gestational diabetes. Answer 2 is incorrect because decreased platelet count, not elevated platelet count, is found in HELLP syndrome. Answer 3 is incorrect because the creatinine clearance is decreased in HELLP syndrome. Answer 4 is correct because HELLP syndrome stands for hemolysis, elevated liver enzymes, and low platelet count. Elevated hepatic enzymes are associated with HELLP syndrome.