A 36-year-old client at 38 weeks of gestation arrives at the clinic reporting a persistent headache, visual changes, and swelling in her hands and feet. Her blood pressure is 160/100 mmHg. What is the nurse's priority action?
Request lab work for liver enzymes and kidney function before notifying the provider.
Assess for other signs of preeclampsia and notify the provider promptly.
Reassure the client about her symptoms in late pregnancy and recommend hydration.
Recommend that the client monitor her blood pressure at home and return for evaluation if her symptoms worsen.
The correct response is to assess for other signs of preeclampsia and notify the provider. Preeclampsia is a potentially life-threatening condition characterized by severe hypertension, proteinuria, and end-organ damage. The provider must be informed to initiate appropriate interventions, such as maternal and fetal monitoring or medication to lower blood pressure. Reassuring the client or delaying further evaluation could place the client and fetus at risk. While lab work is important to confirm the diagnosis of preeclampsia, failure to escalate care without physician notification is a critical oversight.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is preeclampsia and why is it dangerous?
Open an interactive chat with Bash
Why is it important to notify the provider immediately for suspected preeclampsia?
Open an interactive chat with Bash
What additional signs should a nurse assess for in suspected preeclampsia?
Open an interactive chat with Bash
NCLEX RN
Health Promotion and Maintenance
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .