A client at 36 weeks' gestation has a BP of 140/90. Which additional sign should the nurse assess for in relation to preeclampsia?

In the context of assessing for preeclampsia, the presence of protein in the urine is a significant indicator. Preeclampsia is characterized not only by elevated blood pressure but also by the development of proteinuria, which is the presence of excess protein in the urine due to the kidneys being affected by the conditions of pregnancy.

When a nurse identifies a client with hypertension, like the blood pressure reading of 140/90, it is essential to assess for proteinuria. A urine dipstick test that is positive for protein would suggest that the kidneys might be losing protein due to damage from the effects of high blood pressure, therefore indicating a progression towards preeclampsia.

While excessive weight gain, severe headaches, and visual disturbances can also be associated with preeclampsia, the direct correlation of proteinuria with the diagnosis makes it a critical sign to assess immediately following the high blood pressure reading. Identifying proteinuria can lead to timely intervention and management of the condition to prevent complications for both the mother and the fetus.