medium · NCLEX-RN management
A 17-year-old client who is legally emancipated under applicable state law is at 36 weeks gestation and wishes to leave the prenatal clinic against medical advice after being diagnosed with gestational hypertension (BP 148/92 mm Hg, no severe features). She explains the risk of preeclampsia but says she must return to work.
Which action is most appropriate?
- Keep her in the examination room until a parent signs a discharge release
- Contact her employer and disclose the diagnosis so the employer can excuse her, in this situation, as the next nursing response.
- Ask police to transport her to the hospital under emergency protective custody, in this situation, as the next nursing response.
- Facilitate informed refusal, review severe-feature warning signs, and arrange close follow-up and home blood-pressure monitoring
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