The nurse is preparing to care for a client who is being admitted to the hospital with a possible diagnosis of ectopic pregnancy
The nurse develops a plan of care for the client and determines that which of the following is the priority nursing action? 1. Monitoring daily weight
2. Assessing for edema
3. Monitoring the temperature
4. Monitoring the apical pulse
4
Rationale: Nursing care for the client with a possible ectopic pregnancy is focused on preventing or identifying hypovolemic shock and controlling pain. An elevated pulse rate is an indicator of shock. Weight and edema are priority interventions for the client with preeclampsia, and an ele-vated temperature is an indicator of infection.
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