(Select all that apply) A nurse is assessing a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia.
Which of the following findings should the nurse report to the provider immediately?
A.
Epigastric pain
B.
Blurred vision
C.
Facial edema
D.
Hyperreflexia
E.
Oliguria
For a client who is 32 weeks pregnant and has a diagnosis of severe preeclampsia, the following findings should be reported to the provider immediately:
A. Epigastric pain
B. Blurred vision
D. Hyperreflexia
E. Oliguria
Explanation:
- A. Epigastric pain: This is a concerning symptom in severe preeclampsia, as it can indicate liver involvement or progression to HELLP syndrome, a serious complication of preeclampsia.
- B. Blurred vision: This can be a sign of severe preeclampsia affecting the central nervous system or the visual system. It requires immediate evaluation as it can indicate worsening disease.
- C. Facial edema: While facial edema can be seen in preeclampsia, it is less immediately critical compared to the other findings. It is important but not as urgent as the symptoms listed above.
- D. Hyperreflexia: This can indicate central nervous system involvement and an increased risk of seizures, making it a critical finding in severe preeclampsia.
- E. Oliguria: Reduced urine output can suggest severe kidney involvement and worsening of the condition. It is a serious sign that requires immediate attention.
Correct answers: A, B, D, E