A nurse is caring for an older adult client who wears hearing aids with detachable ear molds.
Which of the following actions should the nurse take when caring for the hearing aids?

Blood pressure: This finding is consistent with preeclampsia, but not HELLP syndrome.Preeclampsia is defined as new-onset hypertension (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg) after 20 weeks of gestation, with or without proteinuria.HELLP syndrome is a severe form of preeclampsia that involves hemolysis, elevated liver enzymes, and low platelets, but does not necessarily cause hypertension. Hemoglobin: This finding is consistent with HELLP syndrome, but not preeclampsia.

Hemolysis is one of the main features of HELLP syndrome, which causes a decrease in hemoglobin levels.Preeclampsia does not typically affect hemoglobin levels, unless there is significant blood loss or hemodilution.

Platelet count: This finding is consistent with both preeclampsia and HELLP syndrome.Low platelets (thrombocytopenia) are a common complication of preeclampsia, especially in severe cases.They are also a diagnostic criterion for HELLP syndrome, which requires a platelet count of less than 100,000/mm3.

Alanine aminotransferase: This finding is consistent with HELLP syndrome, but not preeclampsia.Elevated liver enzymes are another hallmark of HELLP syndrome, which indicates liver damage and inflammation.Preeclampsia may cause mild elevations of liver enzymes, but not to the same extent as HELLP syndrome.

Choice A rationale:

Informing the client that the procedure will take 60 minutes is not a critical action before an esophagogastroduodenoscopy (EGD) The duration of the procedure may vary, but this information is not as essential as other pre-procedure considerations.

Choice B rationale:

The correct action is to "Ensure that the client gave informed consent." Before any invasive procedure like an EGD, it is crucial to confirm that the client has provided informed consent. This ensures that the client understands the procedure, its risks, and benefits, and has the opportunity to ask questions and make an informed decision.

Choice C rationale:

Administering an oral contrast solution is not typically done before an EGD. An EGD involves the insertion of a flexible scope through the mouth into the esophagus, stomach, and duodenum to visualize these structures. Contrast solutions are usually used in other imaging procedures, such as barium swallow studies.

Choice D rationale:

Ensuring that the client's bladder is full is not necessary for an EGD. This requirement may be relevant for other imaging studies, but it does not apply to this procedure. The focus should be on the client's comfort, safety, and informed consent before the EGD.