NCLEX RN Practice Question

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?

  • Reassure the client about her symptoms in late pregnancy and recommend hydration.

  • Request lab work for liver enzymes and kidney function before notifying the provider.

  • Recommend that the client monitor her blood pressure at home and return for evaluation if her symptoms worsen.

  • Assess for other signs of preeclampsia and notify the provider promptly.

NCLEX RN
Health Promotion and Maintenance
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