Question

The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's BP is 150/96, serum albumin level is 3g/dL, 3+ protein found in urine, and the client's hand and face are edematous. What instruction is most important?

A. Encourage increased caffeine intake
B. Recommend reduced fluid intake
C. Advise bed rest and left side positioning
D. Suggest vigorous exercise routine

Answer 1

The most important instruction is to advise bed rest and left side positioning for the client showing signs of preeclampsia to improve circulation and reduce symptoms.

Step-by-step explanation:

The most important instruction for a client at 31 weeks gestation with a high blood pressure reading, low serum albumin level, proteinuria, and edema of the hands and face is C. Advise bed rest and left side positioning. This client is exhibiting signs of preeclampsia, a potentially dangerous pregnancy complication characterized by high blood pressure and signs of damage to another organ system, often the kidneys. Bed rest and positioning on the left side helps to improve circulation, which can alleviate some of the symptoms and reduce the risk of complications. Conversely, increased caffeine intake, decreased fluid intake, and a rigorous exercise regimen could exacerbate the condition and are not recommended.