A pregnant client reports not being able to remove her wedding ring due to finger swelling. What should the nurse further check?

When a pregnant client reports swelling in the fingers, an important consideration is the potential for gestational hypertension or preeclampsia, conditions that can lead to serious complications. Checking blood pressure changes and assessing for protein in the urine are key indicators of these conditions. Elevated blood pressure and the presence of protein in urine are significant findings that warrant further evaluation in a pregnant client experiencing swelling, as they can signal a decline in maternal or fetal well-being.

Monitoring blood pressure provides immediate insights into the client’s cardiovascular status. Preeclampsia may cause sudden weight gain, edema, and hypertension. Additionally, the presence of protein in urine is a diagnostic criterion for preeclampsia and is crucial for determining if the swelling and other symptoms indicate a more serious condition.

While it is important to consider fluid intake, hydration status, weight, and dietary habits, they do not directly address the urgent assessment needed for potential gestational hypertension or preeclampsia indicated by the swelling of the fingers. Assessing heart and respiratory rates could also provide general information but would be less specific to the condition suspected in this scenario. Thus, focusing on blood pressure and protein in urine is the most appropriate next step.