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NCLEX-RN

Category - Reduction of Risk

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A pregnant client at 33 weeks gestation is admitted with a diagnosis of severe pre-eclampsia. The nurse should immediately notify the physician once the client develops which of the following signs?

Bleeding of gums
Nausea and vomiting
Leg cramps
Nasal stuffiness

Explanation

Answer - A - Severe pre-eclampsia can cause disseminated intravascular coagulation, which is manifested by signs of bleeding. The nurse must monitor for bleeding gums and petechiae.

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