Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
A nurse is caring for a client who is 34 weeks pregnant.The nurse should take which of the following actions to address the condition the client is most likely experiencing?
Correct answer
A
Rationale
The correct action is to implement seizure precautions (choice A) because the client is most likely experiencing a condition that predisposes them to seizures. Seizure precautions aim to prevent injury during a seizure episode. Checking deep tendon reflexes (choice B) every hour is not the priority in this situation as it does not directly address the potential for seizures. Administering methyldopa (choice C) is not appropriate without further assessment. Monitoring neurologic status (choice D) is important but does not directly address preventing seizures.