A pregnant client at 34 weeks has BP 170/112 mmHg, severe headache, visual changes, and right upper quadrant pain. What is the priority nursing action?

Question

Accepted Answer

B. Administer magnesium sulfate as ordered and prepare for possible delivery — These findings suggest severe preeclampsia and risk of seizure/stroke. Magnesium sulfate helps prevent eclampsia; close monitoring and possible delivery are often required per provider orders.

Answer

A. Schedule a routine follow-up prenatal appointment

Answer

C. Give an NSAID for headache relief

Answer

D. Encourage a low-sodium diet and rest at home