Reference no: EM133883028

PATIENT PROBLEM SCENARIO:

Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider's office at 33 weeks' gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy's provider diagnoses her with preeclampsia and admits her to the hospital's high-risk antepartum unit for further testing, fetal surveillance, and expectant management.

1. Pathophysiology of Preeclampsia

2. Recognize cues: Describe signs/symptoms, patient statements, lab work, or assessments findings you would recognize as specific to a client with this disease process (Preeclampsia). Include a minimum of six (6) cues.

3. List at least 6 SMART goals with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client (Write each smart goals with interventions using one sentence). At least 3 should be short-term; and 3 goals should be long-term.

4. Take Actions: What nursing interventions would you implement for Amy? At minimum, include the following topics with rationale for each intervention Expectant management or serial assessments and testing Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate). Describe each medication use, desired effects, and adverse reactions. Are any pre-assessment required before administering each medication?

Activity level

5. Evaluate Outcomes: What signs will point to improving, declining, and unchanged status? (describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status).