The nurse is performing a peripheral vascular assessment of a female client who is 7 months pregnant. The nurse notes mild peripheral edema, all other findings were normal. Which of the following actions by the nurse would be appropriate?
1. Notify the healthcare provider immediately regarding this abnormal finding.
2. Obtain an order from the healthcare provider for a diuretic to reduce the client's edema.
3. Document the findings as expected due to the client's pregnancy.
4. Educate the client regarding ways to reduce the risk about peripheral vascular ulcer development.
3
Rationale 1: Mild peripheral edema is an expected finding when a pregnant client is in her third trimester. The client's healthcare provider does not need to be immediately notified.
Rationale 2: The client does not need a diuretic to reduce the mild peripheral edema. This is a normal finding at this stage of the client's pregnancy.
Rationale 3: Pressure from the uterus on the lower extremities can obstruct venous return and can cause edema, varicosities of the leg, and hemorrhoids. Edema is an expected finding because the client is in her third trimester.
Rationale 4: Peripheral edema is a normal finding at this stage of the client's pregnancy. This client is not necessarily at a greater risk for developing a peripheral vascular ulcer.
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