NCLEX-PN

Category - Reduction of Risk

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A nurse is assigned to monitor a client at 30 weeks gestation with severe eclampsia. The nurse should be concerned when each of the following signs and symptoms are demonstrated by the client except:

Gum bleeding
Urinary frequency
Petechiae
Epistaxis

Explanation

Answer: B - Urinary frequency is common during the first trimester and third trimester. A client with severe eclampsia is at risk for disseminated intravascular coagulation, a condition manifested by signs of bleeding. Gum bleeding, petechiae, and epistaxis are immediately reported to the RN or physician.

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