Difficulty: Medium
Average Score: 64%
Simulated
Passage / Scenario
A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spottingA nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct answer
B
Rationale
Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.