During a routine prenatal visit, a client who is 24 weeks pregnant has an increased blood pressure. The nurse identifies which nursing diagnosis as appropriate for the client at this time?

A) Risk for Fluid Volume Excess
B) Chronic Pain
C) Risk for Impaired Growth and Development
D) Constipation


Answer: A

The rise in blood pressure could be caused by fluid retention as seen in preeclampsia. The client would be at risk for fluid volume excess. The other nursing diagnoses are not appropriate for the client at this time.

Nursing

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