Question

Which of these clinical manifestations would the nurse report to the healthcare provider immediately in a client with preeclampsia?

a. Audible crackles in the lower lung fields
b. Weight gain of 5 pounds in 2 weeks
c. Severe headache
d. Generalized facial edema

Answer 1

In a client with preeclampsia, a severe headache should be reported to the healthcare provider immediately. It suggests central nervous system involvement and could precede eclampsia, a severe complication. Other symptoms like pulmonary edema and weight gain are concerning but less urgent than neurological symptoms.

Step-by-step explanation:

When assessing a client with preeclampsia, the nurse should report severe headache to the healthcare provider immediately. Severe headaches in preeclampsia may indicate central nervous system involvement and can be a symptom of worsening condition and impending eclampsia, which is a serious complication involving seizures. Although all the manifestations mentioned can be associated with preeclampsia, a severe headache is among the most concerning and prompting immediate intervention.

Clinical manifestations such as pulmonary edema, characterized by audible crackles in the lower lung fields, and generalized facial edema, are also significant; however, they do not typically require the same level of immediate intervention as neurological symptoms like severe headaches. Regarding weight gain, a gain of 5 pounds in 2 weeks during pregnancy can be normal but should still be monitored.