hard · NCLEX-RN Health Promotion and Maintenance

An RN at 08:30 is assessing a client at 34 weeks' gestation with a blood pressure of 164/114 mm Hg and 2+ patellar reflexes.

Which nursing action is the highest priority?

  1. Administer an oral NSAID to prevent the development of a severe headache.
  2. Place the client in a supine position to facilitate a fetal non-stress test.
  3. Initiate a loading dose of magnesium sulfate per facility protocol.
  4. Request a 24-hour urine collection to confirm the diagnosis of preeclampsia.

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