A 28-year-old pregnant client at 32 weeks gestation visits the clinic with complaints of frequent headaches, visual disturbances, and swelling in her hands and face. What should the nurse prioritize during the assessment?
Assess the client's urine for protein levels.
Reassure the client that swelling during pregnancy is common and suggest rest.
Encourage the client to increase fluid intake and monitor symptoms.
Check the client's blood pressure and evaluate for hypertension.
The correct answer is focused on assessing blood pressure for elevated readings, as this is a critical factor in diagnosing preeclampsia. The condition is characterized by hypertension, proteinuria, and other systemic findings such as headaches, visual disturbances, or edema. Assessing the protein level in the urine is also important but does not take priority over evaluating blood pressure in this scenario. Reassuring the client and encouraging hydration are supportive but non-priority actions and do not address the potential underlying condition.
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