Home » NCLEX » NCLEX-RN » A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:
A. The client is restless.
B. The elevated blood pressure causes photophobia.
C. Noise or bright lights may precipitate a convulsion.
D. External stimuli are annoying to the client with PIH.
Correct Answer: C
Explanation/Reference:
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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