Question

question: 31 of 60

a nurse is assessing a client who is pregnant for preeclampsia. which of the following fin... further evaluation for this disorder?

increased urine output
vaginal discharge
elevated blood pressure
joint pain

Explanation:

Analyze the clinical presentation

Using the Preeclampsia Management knowledge point

Preeclampsia is a pregnancy-specific disorder characterized by new-onset hypertension (systolic blood pressure \(\ge 140\) mmHg or diastolic blood pressure \(\ge 90\) mmHg) and typically proteinuria after 20 weeks of gestation.

Evaluate the clinical options

Using the Preeclampsia Management knowledge point

• Increased urine output: Preeclampsia typically causes decreased renal perfusion, leading to oliguria (decreased urine output), not increased output.
• Vaginal discharge: This is not a primary diagnostic or monitoring indicator for preeclampsia progression.
• Elevated blood pressure: Monitoring and evaluating blood pressure is the cornerstone of assessing preeclampsia severity and risk of complications (such as eclampsia).
• Joint pain: This is not a characteristic finding of preeclampsia.

Answer:

• (A) Increased urine output
• (B) Vaginal discharge
• (C) Elevated blood pressure (Correct answer)
• (D) Joint pain