Question

A nurse is monitoring a client with severe preeclampsia for the onset of eclampsia. What objective clinical finding indicates an impending seizure?

1) Persistent headache with blurred vision
2) Epigastric pain with nausea and vomiting
3) Spots and flashes of light before the eyes
4) Rolling of the eyes to one side with a fixed stare

Answer 1

Epigastric pain with nausea and vomiting is an objective clinical finding that may indicate an impending seizure in a client with severe preeclampsia.

Step-by-step explanation:

Clinical Indicators of an Impending Seizure in Severe Preeclampsia

In the context of severe preeclampsia, medical professionals must be vigilant for signs that indicate a progression to eclampsia, which is characterized by the onset of seizures. Among the options provided, epigastric pain with nausea and vomiting is an objective clinical finding that could suggest an impending seizure. This epigastric pain is a serious symptom that may indicate involvement of the liver, known as HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count), which can accompany severe preeclampsia and eclampsia.

While other symptoms such as persistent headache, vision changes, and abnormal eye movements may also be present in severe preeclampsia, it is the epigastric pain coupled with gastrointestinal symptoms like nausea that most strongly hints at the potential onset of a seizure due to underlying central nervous system irritation or hepatic involvement. It is essential for nurses and other healthcare professionals to recognize and respond to these signs promptly to manage the condition effectively and prevent potential complications.