A nurse in a clinic is caring for an adolescent client who is at 24 weeks of gestation and showing signs of preeclampsia. Which of the following findings should the nurse expect?

Rationale:

A. Administer diuretics: The client's symptoms, moist lung sounds, bounding pulse, elevated blood pressure, and pitting edema indicate fluid volume overload. Administering prescribed diuretics is the priority intervention to rapidly reduce intravascular and interstitial fluid volume and relieve pulmonary congestion.

B. Limit the client's fluid intake: Fluid restriction helps manage ongoing fluid retention but does not address the immediate concern of volume overload. It is a supportive measure rather than the initial priority in acute decompensated heart failure.

C. Insert an indwelling urinary catheter: While catheterization may help monitor output, it does not treat the underlying fluid excess. Inserting a catheter without addressing the fluid accumulation first does not provide immediate symptom relief.

D. Place the client on a low-sodium diet: A low-sodium diet is important for long-term management of heart failure, but it does not provide the prompt fluid removal needed in this acute situation. Immediate diuresis is necessary to reduce cardiac workload and respiratory distress.

Rationale:

A. The client advances the walker and takes a step towards it: This is the correct technique for using a walker. The client should move the walker a short distance ahead, then step into it one foot at a time, maintaining balance and stability throughout the motion.

B. The client grasps the walker by the hand grips on the upper bars: Holding the walker by its designated hand grips is safe and appropriate. This ensures proper control of the device and minimizes the risk of slipping or tipping.

C. The client lifts the walker as it is moved forward: Walkers should be lifted and placed rather than dragged to maintain balance and prevent tripping. This action demonstrates proper use and helps maintain floor contact with all legs of the walker.

D. The client takes multiple steps while holding the walker: Taking multiple steps without first advancing the walker compromises balance and increases the risk of falling. The correct method involves moving the walker first, then taking one step at a time toward it.