The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia. Which statement indicates that the client requires additional teaching?
A) "My urine may become darker and smaller in amount each day."
B) "I should call the doctor if I develop a headache or blurred vision."
C) "Pain in the top of my abdomen is a sign my condition is worsening."
D) "Lying on my left side as much as possible is good for the baby."
Answer: A
Oliguria is a complication of preeclampsia caused by renal involvement and is a sign that the condition is worsening. It is not an expected outcome and should be reported to the physician. Headache and blurred vision or other visual disturbances are an indication of worsening preeclampsia, and should be reported to the physician. Left lateral position maximizes uterine and renal blood flow, and therefore is the optimal position for a client with preeclampsia. Epigastric pain is an indication of liver enlargement, a symptom of worsening preeclampsia, and should be reported to the physician.
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