A nurse is assisting with the admission of a client who has hyperemesis gravidarum. Which of the following laboratory tests is the priority to complete?

(A) Apply elastic stockings before the client gets out of bed:
While elastic stockings can help prevent thrombophlebitis by promoting venous return and reducing the risk of blood pooling in the legs, applying them before the client gets out of bed may not be as effective as ambulation in preventing stasis and clot formation.

(B) Have the client ambulate as often as possible:
Ambulation helps prevent thrombophlebitis (inflammation of a vein with clot formation) by promoting blood circulation in the lower extremities. Moving the legs and walking encourage the calf muscles to contract, which aids in pushing blood back towards the heart, reducing the risk of blood stasis and clot formation.

(C) Apply warm, moist packs to the client's lower legs:
Applying warm, moist packs to the lower legs may provide comfort and relaxation, but it is not a primary measure for preventing thrombophlebitis. In fact, warm compresses may dilate blood vessels and potentially increase the risk of thrombosis in some cases.

(D) Administer NSAIDs every 4 to 6 hr:
Nonsteroidal anti-inflammatory drugs (NSAIDs) are not typically used for preventing thrombophlebitis. While NSAIDs can help manage pain and inflammation, they do not directly address the underlying mechanisms of thrombus formation or prevent blood stasis. Additionally, frequent administration of NSAIDs may carry risks of gastrointestinal bleeding and renal complications.

(A) Tell the client to apply hydrocortisone ointment to the affected area of the breast:
Hydrocortisone ointment is not appropriate for treating mastitis, which is an infection of the breast tissue. The primary treatments for mastitis include antibiotics, pain management, and supportive measures like warm compresses to relieve discomfort and promote milk flow.

(B) Suggest the client apply warm compresses to the affected breast:
Applying warm compresses to the affected breast can help relieve pain and promote milk flow, which can aid in resolving the infection. Warmth can help reduce inflammation and make breastfeeding or pumping less painful.

(C) Recommend the client avoid wearing a nursing bra until symptoms resolve:
Avoiding a nursing bra is not necessary. In fact, wearing a well-fitting and supportive nursing bra can help manage discomfort and support the breasts. It is important that the bra is not too tight to avoid further compression and blockage of milk ducts.

(D) Encourage the client to limit oral fluid intake to decrease milk production:
Limiting fluid intake is not recommended. Adequate hydration is important for overall health and maintaining milk supply. Reducing fluid intake does not effectively manage mastitis and can lead to dehydration.