During a routine prenatal visit, a client who is 24 weeks pregnant has a blood pressure of 143/91. The client's blood pressure at her previous visit was 121/82. A urine dipstick test reveals a trace amount of protein. The nurse identifies which nursing diagnosis as appropriate for the client at this time?
A)Risk for Imbalanced Fluid Volume
B)Chronic Pain
C)Risk for Delayed Development
D)Constipation

Question

Quizplus · Accepted Answer

A)The rise in blood pressure and protein in the urine could indicate that preeclampsia is developing. Because preeclampsia is often accompanied by fluid retention, the client would be at risk for imbalanced fluid volume. The other nursing diagnoses are not appropriate for the client at this time.
B)The rise in blood pressure and protein in the urine could indicate that preeclampsia is developing. Because preeclampsia is often accompanied by fluid retention, the client would be at risk for imbalanced fluid volume. The other nursing diagnoses are not appropriate for the client at this time.
C)The rise in blood pressure and protein in the urine could indicate that preeclampsia is developing. Because preeclampsia is often accompanied by fluid retention, the client would be at risk for imbalanced fluid volume. The other nursing diagnoses are not appropriate for the client at this time.
D)The rise in blood pressure and protein in the urine could indicate that preeclampsia is developing. Because preeclampsia is often accompanied by fluid retention, the client would be at risk for imbalanced fluid volume. The other nursing diagnoses are not appropriate for the client at this time.

During a Routine Prenatal Visit, a Client Who Is 24