Question

Which findings from the nurse's assessment of the patient with severe preeclampsia would indicate central nervous system involvement? (Select All That Apply)

a) Seizures
b) Blurred vision
c) Hypertension
d) Headache

Answer 1

In a patient with severe preeclampsia, seizures, blurred vision, and headache would indicate central nervous system involvement. Hypertension, while characteristic of preeclampsia, does not directly indicate CNS involvement.

Step-by-step explanation:

Severe preeclampsia is a serious condition affecting pregnant women, and it can have significant central nervous system (CNS) involvement. During the assessment of a patient with severe preeclampsia, certain symptoms suggest central nervous system involvement. These symptoms include:

• Seizures - Sudden, uncontrolled electrical disturbances in the brain which can cause changes in behavior, movements, feelings, and levels of consciousness.
• Blurred vision - Visual disturbances that can indicate CNS involvement and can be a serious sign of preeclampsia progression.
• Headache - Severe and persistent headaches can be a sign that the condition is affecting the CNS.

Hypertension is also a hallmark finding in preeclampsia, but it is not directly indicative of central nervous system involvement, although it can contribute to it.

In conclusion, out of the options presented, seizures, blurred vision, and headache would indicate central nervous system involvement in a patient with severe preeclampsia.