Practice Question
A nurse is reviewing the medical record of a client who has HELLP syndrome. Which of the following findings should the nurse expect?
Answer Choices:
Correct Answer:
Platelet count 98,000/mm3.
Rationale:
🩸 HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets; a platelet count <100,000/mm³ meets the “L” criterion and signals severe disease.
🩸 The pathophysiology involves endothelial injury and microangiopathic hemolysis, producing schistocytes, ↑LDH, ↑bilirubin, and periportal hepatic injury.
🩸 Thrombocytopenia heightens risk for DIC, hemorrhage, and hepatic rupture, making anesthetic choices (e.g., neuraxial) and delivery planning high‑risk.
🩸 Nursing actions include seizure precautions, magnesium sulfate as ordered, tight BP control (e.g., labetalol/hydralazine), and continuous maternal–fetal monitoring.
🩸 Expeditious delivery is often required; serial labs track platelets, AST/ALT, bilirubin, creatinine, and coagulation to gauge response.
Want to practice more questions like this?
This question is from RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN which contains 140 questions.
More Questions from This Exam
A nurse is assessing a client who has posttraumatic stress disorder following military combat. Which of the following findings should the nurse expect?
Answer Choices:
A nurse is creating a plan of care for an older adult client who has acute pancreatitis and has developed a paralytic ileus. Which of the following interventions should the nurse include in the plan?
Answer Choices:
A health department nurse is providing teaching to a client who has a new diagnosis of syphilis. Which of the following statements should the nurse make?
Answer Choices:
A nurse is assessing a client who has Parkinson's disease. Which of the following findings should the nurse expect?
Answer Choices:
From Exam
RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN
140 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4