NCLEX-RN · Question #126
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:
The correct answer is C. Noise or bright lights may precipitate a convulsion. (A) The client may be anxious and hyperresponsive to stimuli but not necessarily restless. (B) This is not a physiological response to an elevated blood pressure in PIH. (C) The nurse must know the nursing measures that decrease the potential for convulsions. A quiet, darkened…
Question
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:
Options
- AThe client is restless.
- BThe elevated blood pressure causes photophobia.
- CNoise or bright lights may precipitate a convulsion.
- DExternal stimuli are annoying to the client with PIH.
How the community answered
(44 responses)- A2% (1)
- C93% (41)
- D5% (2)
Explanation
(A) The client may be anxious and hyperresponsive to stimuli but not necessarily restless. (B) This is not a physiological response to an elevated blood pressure in PIH. (C) The nurse must know the nursing measures that decrease the potential for convulsions. A quiet, darkened room decreases stimuli and promotes rest. (D) External stimuli might induce a convulsion but are not annoying to the client with PIH.
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