Share This Link

Urine protein 300 mg/24 hours.This statement is wrong because urine protein 300 mg/24 hours is within the normal range for pregnant women.Proteinuria, which is a sign of preeclampsia, is defined as urine protein more than 300 mg/24 hours.

This statement is wrong because blood pressure 150/96 mm Hg is not high enough to indicate severe preeclampsia.Severe preeclampsia is diagnosed when blood pressure is 160/110 mm Hg or higher on two occasions at least four hours apart.

This statement is wrong because mild facial edema is a common symptom of pregnancy and not specific to preeclampsia.Severe preeclampsia may cause sudden and severe swelling in the face, hands, or feet.

Administering acetaminophen may not address the underlying cause of the headache and may mask other symptoms.

Assessing for visual disturbances is not the first priority, although it can be a serious symptom of preeclampsia.

Assessing for proteinuria is not the first priority, although it can be a diagnostic criterion for preeclampsia.

This is an important action, but not the first priority.

The nurse should assess blood pressure after administering oxygen and stabilizing the client.

This is a symptom of severe preeclampsia, but not an immediate threat to the client’s life.

The nurse should assess for visual disturbances as part of the ongoing evaluation of the client’s condition.

This is a diagnostic criterion for preeclampsia, but not a priority action in this situation.

The nurse should assess for proteinuria as part of the routine urinalysis.

Normal ranges for blood pressure are less than 140/90 mm Hg, and for proteinuria are less than 300 mg/24 hours.

Administering acetaminophen may not relieve the pain and may mask other symptoms.

Visual disturbances are not the most urgent symptom to assess in this case.

Assessing for proteinuria is not the first priority, although it is important to diagnose preeclampsia.

Administering acetaminophen is not indicated for gestational hypertension and may mask signs of infection or inflammation.

Assessing for visual disturbances is not the priority action for gestational hypertension.

Visual disturbances are a symptom of severe preeclampsia or eclampsia, which are more serious conditions that require immediate medical attention.

Assessing for proteinuria is not the first action for gestational hypertension.

Proteinuria is a sign of preeclampsia, which may develop from gestational hypertension, but it is not present in all cases.

The nurse should first assess the blood pressure and then check for proteinuria if indicated by the provider or protocol.