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