The community nurse is caring for a client at 32 weeks' gestation diagnosed with preeclampsia. Which statement indicates that additional information is needed about the health problem?
1. "My urine may become darker and smaller in amount each day."
2. "Lying on my left side as much as possible is good for the baby."
3. "I should call the doctor if I develop a headache or blurred vision."
4. "Pain in the top of my abdomen is a sign my condition is worsening."
1
Explanation:
1. Oliguria is a complication of preeclampsia caused by renal involvement and is a sign that the condition is worsening. Oliguria should be reported to the healthcare provider.
2. Left lateral position maximizes uterine and renal blood flow and therefore is the optimal position for a client with preeclampsia.
3. Headache and blurred vision or other visual disturbances are an indication of worsening
preeclampsia and should be reported to the healthcare provider.
4. Epigastric pain is an indication of liver enlargement, a symptom of worsening
preeclampsia, and should be reported to the healthcare provider.
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