A nurse in the prenatal clinic is assessing a woman at 34 weeks’ gestation. The client’s blood pressure is 166/100 mm Hg and her urine is +3 for protein. She states that she has a severe headache and occasional blurred vision. Her baseline blood pressure was 100/62 mm Hg. What is the priority nursing action?
1
Arrange transportation to the hospital.
2
Obtain a prescription for an antihypertensive.
3
Recheck the blood pressure within half an hour
4
Obtain a prescription for acetaminophen to relieve the headache.